Find a nursing home

Home / Maryland / Baltimore

Keswick Multi-Care Center

700 West 40th Street, Baltimore, MD 21211 · Baltimore City County · (410) 235-8860

170 certified beds, about 156 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215037 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 3, 2026, inspectors cited 18 health deficiencies (the Maryland average is 17, the national average 9.2).

None of its 58 health citations since August 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.45 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

37.5% of nursing staff left within the year CMS measured (Maryland average 40.2%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 58 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
50D
5E
2F
Potential for minimal harm
0A
0B
1C
March 3, 2026Standard inspection, Complaint inspection · 18 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteNumber of residents sampled:Number of residents cited:Based on observation, record review, and interview with facility staff, it was determined that the facility failed to maintain food service equipment in a manner that ensures sanitary food service operations to prevent possible foodborne illness. This was evident during the initial kitchen tour of the recertification survey.
  2. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on observations and facility staff interviews it was determined that the facility failed to have an accessible cord attached to the call light device in Resident bathrooms. This finding was found to be evident in 5 out of 34 Resident bathrooms observed on [NAME] Ground Nursing Unit which affected 5 (Resident #113, #115, #132, #161, and #172) out of 34 Residents reviewed for Resident Call System.
  3. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, and interviews with staff, it was determined that the facility failed to maintain a pest-free environment for the residents. This was evident in 6 of 6 areas reviewed during the recertification survey.
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on facility staff interviews and surveyor record reviews it was determined that the facility failed to document the offering and education of the formulation of an advance directive to Residents. This finding was found to be evident in 3 (Resident #144, #172 and #173) out of 9 Residents reviewed for advance directives.
  5. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to ensure that the environment of the resident was kept clean, comfortable and sanitary. This was evident for Resident #14 during the annual re-certifications survey.
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on staff and Resident interviews and surveyor record reviews it was determined that the facility failed to notify Residents/Resident Representatives in writing of the bed hold policy and document notification of the bed hold policy when Residents were transferred to the hospital. This finding was found to be evident in 2 (Resident #172 and #9) out of 5 Residents reviewed for discharge process.
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on clinical record review and interview, it was determined that the facility failed to transmit a Minimum Data Set (MDS) assessment within 14 days of completion of the assessment. This was evident for 1 (Resident #133) of 3 residents reviewed for assessments transmission during the annual survey.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on facility staff interviews and surveyor record reviews, it was determined that the facility failed to accurately complete Minimum Data Set assessments (MDS) on Residents. This finding was found to be evident in 2 (Resident #26 and #171) out of 9 Residents reviewed for accurate coding of MDS assessments.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on medical record reviews and interviews, it was determined the facility failed to ensure that interdisciplinary care plans were reviewed and revised following a change in condition related to Resident falls and Resident treatments. This was found to be evident for 2 (Resident #143 and #92) out of 4 Residents reviewed for care planning during the annual recertification survey.
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to 1) ensure an ordered procedure necessitated an outside scheduled appointment was completed, and 2) properly assess, evaluate, and implement physician recommendations for treatment of skin impairments. This was evident for 3 (Resident #109, #22, and #166) of 11 residents reviewed during the annual survey.
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on medical record review and staff interviews, it was determined the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice. As evidenced by not evaluating the effectiveness of treatment orders or timely and accurately assessing wounds. This was evident for 1 (Resident #109) of 4 residents reviewed for pressure ulcers during the annual survey.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on observations, interviews and surveyor record reviews it was determined that the facility failed to provide safe, appropriate respiratory care and services. This finding was found to be evident at the nursing station on [NAME] Ground Nursing Unit and in 2 (Resident #113 and #173) out of 2 Residents reviewed for usage of oxygen and storage of oxygen.
  13. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on medical record review and interviews with facility staff, it was determined that the facility failed to respond to recommendations made by consulting pharmacists in a timely manner. This was true for (Resident #13) reviewed during the annual re-certification survey.
  14. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on facility staff interviews and surveyor record reviews it was determined that the facility failed to follow a physician medication order for a Resident, failed to provide adequate side effects monitoring for Residents on psychotropic medications, and failed to ensure a Resident's medication regimen was free from unnecessary psychotropic medication as evidenced by medical records lacking physician documentation of rationale for continued as needed psychotropic use, no documented monitoring of side effects, and no documented non-pharmacological interventions prior to medication administration. This finding was found to be evident in 4 (Resident #26, #33, #92 and #7 ) out of 5 Residents reviewed for unnecessary medications during the annual recertification survey.
  15. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on interviews and clinical record review, it was determined that the facility failed to assist a resident to obtain routine dental care. This was evident for 1 (Resident #2) of 2 residents reviewed for dental services.
  16. D
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation and staff interview, it was determined that the facility failed to ensure the appropriate maintenance of the exterior trash compactor to prevent the harborage and infestation of pests. This was evident for 1 of 1 exterior trash compactor reviewed during the recertification survey.
  17. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteBased on observation and staff interview it was determined that the facility failed to maintain infection prevention and control practices. This finding was found to be evident in review of a complaint related to linen availability, usage and storage in the facility during the annual recertification/complaint survey.
  18. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 9, 2026
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observation, and staff interview, it was determined that the facility failed to maintain essential equipment in proper operating conditions. This was evident for 3 of 3 pieces of equipment reviewed during the recertification survey.
May 12, 2025Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2025
    Inspectors wroteBased on interview, record review, facility document, and facility policy review, the facility failed to protect a resident from verbal abuse for 1 (Resident #6) of 8 residents reviewed for abuse.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2025
    Inspectors wroteBased on interview, record review, facility document and policy review, the facility failed to report an injury of unknown source within two hours of being informed that the resident sustained a serious bodily injury for 1 (Resident #1) of 8 residents reviewed for abuse.
October 22, 2024Standard inspection, Complaint inspection · 19 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observations of the facility's kitchen, review of kitchen records, and interview of dietary staff it was determined the facility failed to: 1) ensure all dietary staff wore a hair restraint, 2) ensure stored foods were covered and labeled, and 3) ensure the dishwasher was maintaining the minimum wash temperature for sanitization of dishes. These deficient practices have the potential to affect all residents.
  2. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on record review and interview it was determined the facility failed to accurately address reporting timeframes for allegations of abuse in their facility policies. This was evident during the surveyor's review of a facility reported incident, MD#00188565 and has the potential to affect all residents.
  3. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observations, facility reports, record reviews, and interviews, it was determined that the facility staff failed to 1) report misappropriation of a residents' fund, and 2) report an allegation of abuse within 2 hours of the allegation to the regulatory agency, the Office of Health Care Quality (OHCQ). This was evident for 4 (#75, #310, #69, #93) of 6 residents reviewed for abuse during a recertification/complaint survey.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident's call device was accessible to the resident. This was evident for 1 (#145) out of 2 residents reviewed for call device functioning during the facility's recertification survey.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on review of a facility reported incident (MD #188565), record review and staff interviews it was determined the facility failed to take measures to protect the resident during an abuse investigation. This was evident for 1 (Resident #310) out of 6 residents reviewed for abuse during the facility's recertification survey.
  6. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to transmit Minimum Data Set (MDS) assessments within 14 days of completion and create a discharge assessment. This was evident for 3 (Residents #64, #146 and #148) of 3 residents reviewed for resident assessments during the recertification/complaint survey.
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to accurately document oral assessment in a resident's medical record and code the resident's oral status accurately on the Minimum Data Set (MDS) assessment. This was evident for 1 (Resident #12) of 3 residents reviewed during the recertification/complaint survey.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to develop, initiate, and ensure a care plan for a resident was comprehensive and person centered. This was evident for 3 (#50, # 312, #12) of 58 residents reviewed during a recertification/complaint survey.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on residents' representative interviews, resident record reviews, and staff interviews, it was determined that the facility failed to implement an interdisciplinary care plan with effective interventions to prevent the repeated removal of gastronomy tubes. This was evident for one (Resident #68) of 58 residents reviewed for care plans during the recertification/complaint survey process. Findings Include: A gastronomy tube (g-tube) is inserted through the abdomen's wall into the stomach. The g-tube allows air and fluid to leave the stomach and can be used to give medication and fluids to the resident. On 10/8/2024 at 11:51 AM, an interview with Resident #68's representative revealed that the resident had 5 incidents that required multiple g-tube replacements within an approximate 5-month period. [...]
  10. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to 1) follow professional standards of nursing practice when administering medications to residents and 2) administer the correct ordered medication form to the resident. It was evident for 1(Resident # 318) of 3 residents reviewed during medication administration during the recertification/complaint survey.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on a complaint incident MD00209605, record review and staff interviews, it was determined that the facility failed to provide Activities of Daily Living (ADL) care for a dependent resident. This was evident for 1 (resident #66) of 4 residents reviewed for ADL care during the recertification/complaint survey.
  12. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on the review of residents' medical records and interviews with facility staff, it was determined that the facility failed to ensure that the resident received treatment and care in accordance with professional standards of practice. This was evident for one (Resident #165) out of one resident who was reviewed for quality of care/ treatment in accordance with professional standards of practice during the recertification/complaint survey.
  13. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on a complaint investigation, record review and staff interviews, it was determined that the facility failed to order appropriate intervention and treatments for the maintenance of a Urostomy. This was evident for 1 (Resident #164) of 1 resident reviewed for urostomy during the recertification/complaint survey. The findings Include: A urostomy is an opening in the belly made during surgery to redirect urine away from a bladder that's not working as it should. A special bag called urostomy bags are used to collect urine from the urostomy. On 10/15/24 at 9:38 AM, review of a complaint incident MD00194576 revealed that Resident #164, who had a urostomy, complained that her urine bag was leaking near the surgical wound and that the bag was left full of waste from 5:30 AM to 10:30 AM. [...]
  14. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on medical record reviews, resident and staff interviews, it was determined the facility staff failed to ensure that a resident was given pain medication consistent with professional standards of practice. This was evident for 1 (Resident #16) of 4 residents reviewed for pain management during the recertification/complaint survey.
  15. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to administer the correct ordered medication form to the resident. It was evident for 1(Resident #318) of 3 residents reviewed during the medication administration during the recertification/complaint survey.
  16. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure that each resident was free from unnecessary antibiotic use. This was evident for 1 (Resident #19) of 3 residents reviewed for antibiotic use while performing infection control tasks during the recertification/complaint survey. Findings Include: According to the Center for Disease Control (CDC) COVID-19 (coronavirus disease 2019) is a disease caused by the SARS-CoV-2 virus. It can be very contagious and can spread quickly. The FDA has authorized or approved several antiviral medications to treat mild to moderate COVID-19 in people who are more likely to get very sick. Antiviral medications target specific parts of the virus to stop it from multiplying in the body once someone is infected, helping to prevent severe illness and death. [...]
  17. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on environmental observation, record review and staff interview, it was determined that the facility failed to have an effective system to prevent and control infections for all residents, staff, volunteers and visitors by posting precaution signs in front of residents' rooms to prevent the transmission of infections. This is evident for 3 (Resident #66, #68, #85) of 32 residents reviewed for infection precaution signs during the recertification/complaint survey.
  18. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to have documented evidence to support that the facility assessed the vaccination status of the influenza and Pneumococcal of each resident as required. This is evident for 3 (Resident #16, #127, and #152) of 5 randomly selected resident records reviewed for the influenza and pneumococcal vaccination records during the recertification/complaint survey. Findings Include: Influenza (Flu) vaccines are used to help prevent influenza. Influenza (Flu) is a contagious disease that spreads around the United States every year, usually between October and May. Anyone can get the flu, but it is more dangerous for some people. [...]
  19. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 5, 2024
    Inspectors wroteBased on the record review and staff interview, it was determined that the facility failed to have documentation to support that the facility provided COVID-19 vaccine education regarding the benefits, risks, and potential side effects of the vaccines. This is evident for 1 (Resident #129) of 5 randomly selected residents reviewed for COVID-19 vaccination records during the recertification/complaint survey. Findings Include: On 10/11/24 at 12:51 PM, a review of Resident #129's vaccination records revealed that upon the resident's admission in March 2023, the resident refused the COVID-19 vaccine; however, a review of Resident #129's immunization report in the electronic medical record, documented the vaccination education for the COVID-19 as no. Thus, revealed that the vaccination education was not provided to the resident or their representative. [...]
August 15, 2019Standard inspection · 19 citations
  1. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to provide care to promote the highest well-being for Residents (#106, #161 and #172). This was evident for 3 of 69 residents selected for review of quality of care during the annual survey process.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on observation and interview, it was determined the facility staff failed to provide Residents (#122) with the most dignified existence related to meals. This was evident for 1 of 3 residents reviewed for dignity during the survey process and 1 of 69 residents selected for review during the annual survey.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to notify the physician of weight gain as ordered for Residents (#45 and #172). This was evident for 2 of 2 residents selected for review of notification and 2 of 69 residents selected for review during the annual survey process.
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on surveyor observation and resident interview it was determined that the facility failed to provide a safe, clean, comfortable and homelike environment. This deficient practice has the potential to affect all residents.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and interview it was determined the facility staff failed to code the Resident (#172) medications accurately on the Minimum Data Set (MDS). This was evident for 1 of 69 residents selected for review during the annual survey process.
  6. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to develop a baseline care plan within 48 hours of admission to the facility. This was evident for 1 (Residents #407) of 69 residents reviewed during an annual recertification survey.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wrote2) On 8/14/2019 Resident #184's medical record was reviewed and revealed and Minimum Data Set (MDS) admission Assessment from 8/29/2018. An MDS Assessment is a comprehensive assessment of a residents functional capabilities and health needs and are completed upon admission, discharge, quarterly, annually and when the resident experiences a significant change in condition. The MDS from 8/29/2018 specified that Resident #184 required Two + persons physical assist when bathing. Resident #184's Care Plan from 8/31/2018 was reviewed and under interventions for bathing/showering stated The resident requires (one staff assistance) with (bathing/showering) and as necessary. contrary to the resident's admission MDS assessment which specified Two + persons physical assist.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review, observation and staff interview, it was determined the facility staff failed to have an interdisplinary team review and revise a care plan (#63). This was evident for 1 of 11 residents reviewed for nutrition.
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to administer a medication to Resident (#103) in accordance with the standard of practice. This was evident for 1 of 6 residents observed for medication pass and 1 of 36 opportunities for medication error.
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on observation, medical record review and interview, the facility staff failed to provide treatment/services to prevent/heal pressure ulcers to (Resident #407). This is evident for 1 of 5 Residents selected for review of pressure ulcers during the survey process. A pressure ulcer (also known as pressure sore or decubitus ulcer) is any lesion caused by unrelieved pressure that results in damage to the underlying tissue. Pressure ulcers are staged according to their severity from Stage I (area of persistent redness), Stage II (superficial loss of skin such as an abrasion, blister, or shallow crater), Stage III (full thickness skin loss involving damage to subcutaneous tissue presenting as a deep crater), and Stage IV (full thickness skin loss with extensive damage to muscle, bone, or tendon).
  11. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on observation and staff interview it was determined the nursing staff failed to follow physician orders and the established care plan to provide 1:1 supervision during meals to prevent a choking hazard (Resident #63). This was evident for 1 of 1 residents reviewed for accident hazards.
  12. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to provide nutritional services to Residents (#122 and #188) as ordered. This was evident for 2 of 11 residents selected for review of nutrition and 2 of 69 residents selected for review during the survey process.
  13. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and interview it was determined the facility staff failed to clarify a pain medication order (Resident#69) to specify where the pain patch should be administered. This was evident for 1 of 4 residents selected for pain assessment and 1 of 5 residents reviewed for pain management.
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to act upon the consultant pharmacist recommendation in a timely manner for Residents (#4) and the consultant pharmacist failed to conduct a thorough medical record review to identify and bring to the facility staff's attention Resident (#172) receiving Nystatin cream for 4 months. This was evident for 2 of 6 residents selected for unnecessary medication review during the annual survey process and 2 out of 69 residents selected for review during the annual survey.
  15. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on clinical record review and staff interview it was determined that the facility staff administered pain medication to a resident who was not in pain (#124). This was evident for 1 resident out of 5 reviewed for unnecessary medications.
  16. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to obtain laboratory blood test as ordered for Resident (#45). This was evident for 1 of 69 residents selected for review of laboratory results during the annual survey process.
  17. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to maintain a medical record in the most accurate form for a resident (#158). This was evident for 1 of 1 residents reviewed for accurate medical records.
  18. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on observations and interview, it was determined the facility staff failed to promote an environment that decreased the potential of transmission of communicable diseases or infections for Resident (#307). This was evident for observation of meal delivery of breakfast on the 2 north nursing unit and 1 out of 69 residents selected for review of infection control during the survey process.
  19. C
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 29, 2019
    Inspectors wroteBased on observation and staff interview it was determined that facility staff failed to store food in accordance with professional standards for food service safety. This deficient practice has the potential to affect all residents.

Fire safety inspections

14 fire safety citations on file: 5 on March 3, 2026, 9 on October 22, 2024.

Every fire safety citation14 citations
  1. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 3, 2026 · Corrected (the home has a date of correction)
  2. F
    Have restrictions on the use of portable space heaters.
    K 781 · March 3, 2026 · Corrected (the home has a date of correction)
  3. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 3, 2026 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 3, 2026 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · March 3, 2026 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · October 22, 2024 · Corrected (the home has a date of correction)
  7. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 22, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 22, 2024 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 22, 2024 · Corrected (the home has a date of correction)
  10. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · October 22, 2024 · Corrected (the home has a date of correction)
  11. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 22, 2024 · Corrected (the home has a date of correction)
  12. D
    Have exits that are accessible at all times.
    K 271 · October 22, 2024 · Corrected (the home has a date of correction)
  13. D
    Have properly located and lighted "Exit" signs.
    K 293 · October 22, 2024 · Corrected (the home has a date of correction)
  14. D
    Have proper medical gas storage and administration areas.
    K 923 · October 22, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)4.453.873.86
Registered nurses0.810.840.69
All nursing staff on weekends4.053.473.42
Nurse aides2.49
Licensed practical nurses1.14
Nursing staff turnover (share who left in a year)37.5%40.2%45.8%
Registered nurse turnover34.2%38.7%42.9%
Administrators who left0

CMS expects 3.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.61 on weekdays and 4.05 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.77 in April to June 2025 to 4.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.450.814.614.05 15.8%0 of 90156
Oct to Dec 20254.480.874.664.02 14.4%0 of 92156
Jul to Sep 20254.520.974.724.00 12.5%0 of 92155
Apr to Jun 20254.771.125.024.16 13.6%0 of 91151
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maryland, Jan to Mar 20263.730.743.883.348.0%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Maryland

JobMedianMiddle halfEmployed
Maryland, all employers
CNAs (nursing assistants)$20.79$18.46 to $22.0027,720
LPNs and LVNs$35.89$31.40 to $38.309,560
Registered nurses$47.98$40.26 to $51.6152,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Keswick Multi-Care Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMarylandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
25.220.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.72.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
46.722.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.25.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.413.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
18.821.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.99.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Keswick Multi-Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (63.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

63.5% this home

Better than the national rate

US median of homes 51.5% · Maryland: 90 better, 29 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 802 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Maryland: 0 better, 41 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 831 eligible stays.

Infections that led to a hospital stay

4.6% this home

Better than the national rate

US median of homes 7.1% · Maryland: 5 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 473 eligible stays.

Self-care and mobility at discharge

58.4% this home

Median of homes: Maryland61.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 363 residents counted.

Falls with major injury

0.7% this home

Median of homes: Maryland0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 447 residents counted.

New or worsened pressure ulcers

3.5% this home

Median of homes: Maryland2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 447 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Maryland98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 96 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: KESWICK MULTI CARE CENTER INC.

NameRoleTypeShareSince
Figueroa, ReginaDirect ownership interestIndividual04/10/2023
Briscoe, ElizabethCorporate directorIndividual09/01/2019
Deeley, KarenCorporate directorIndividual06/30/2017
Diegelman, RonaldCorporate directorIndividual04/24/2015
Floyd Prue, NancyCorporate directorIndividual09/26/2017
Graning, KathrynCorporate directorIndividual11/21/2017
Hemelt, MatthewCorporate directorIndividual07/01/2018
Hooper, Jr., LawrenceCorporate directorIndividual02/08/2019
Magaziner, JayCorporate directorIndividual06/30/2017
Rockstroh, MattCorporate directorIndividual04/24/2015
Weiss, JohnCorporate directorIndividual11/20/2014
Gommel, EricCorporate officerIndividual12/09/2024
McShea Tinney, AileenCorporate officerIndividual09/27/2021
Flagship Rehabilitation, IncOperational/managerial controlOrganization04/15/2015
Unidine CorporationOperational/managerial controlOrganization10/01/2012
Debruyn, ThjodieOperational/managerial controlIndividual01/14/2013
Figueroa, ReginaOperational/managerial controlIndividual04/10/2023
Robinson, AprilOperational/managerial controlIndividual04/19/2001
Wagara, CarolineOperational/managerial controlIndividual02/11/2019
Friends Services for the AgingTrustee of the SNFOrganization04/01/2015
C360, LLCAdp of the SNFOrganization07/17/2023
Connectrn, Inc.Adp of the SNFOrganization01/01/2020
Flagship Rehabilitation, IncAdp of the SNFOrganization02/07/2025
Friends Services for the AgingAdp of the SNFOrganization02/07/2025
Gross Mendelsohn and Associates, PaAdp of the SNFOrganization04/01/2009
Kipkoe, Inc.Adp of the SNFOrganization11/03/2020
Loving Care Services, Inc.Adp of the SNFOrganization10/29/2021
Marquette Associates, Inc.Adp of the SNFOrganization01/01/2010
Ntiva, Inc.Adp of the SNFOrganization12/15/2022
Patient Trust Healthcare Services, LLCAdp of the SNFOrganization01/01/2025
Pnc BankAdp of the SNFOrganization01/02/2004
Unidine CorporationAdp of the SNFOrganization02/07/2025
Figueroa, ReginaAdp of the SNFIndividual02/06/2025
Saluja, DaljeetAdp of the SNFIndividual02/06/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 14 problems in this area, most recently on March 3, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on March 3, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on March 3, 2026: "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."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on March 3, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.

Common questions

What is Keswick Multi-Care Center's Medicare star rating?
CMS rates Keswick Multi-Care Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Keswick Multi-Care Center get at its last inspection?
18 health deficiencies at the standard inspection on March 3, 2026. The Maryland average is 17.
Has Keswick Multi-Care Center been fined?
CMS lists no fines in the last three years.
Does Keswick Multi-Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Keswick Multi-Care Center?
CMS lists 34 owners and managers. Legal business name: KESWICK MULTI CARE CENTER INC.

Sources

Find a nursing home Read an inspection