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C
Below Standard

ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER

111 WEST ROAD · TOWSON, MD 21204

4108286500 · For profit - Individual

139 beds122.8 residents152 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.4691 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.618 HPRD, below the recommended 0.75. It is 0.43 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.24% compared to weekdays. The facility has low agency staff usage (0.87% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4691 HPRD — needs 0.01 more hours per resident per day.
⚠️RN staffing (0.618 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.87%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4691hrs/resident/day▼ 0.43
CMS benchmark: 3.48
RN HPRD
0.618hrs/resident/day▼ 0.07
Recommended: 0.75
Weekend Drop-off
15.24%
3.6252 weekday → 3.0728 weekend
Agency Staff
0.87%
4.64% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6291hrs/resident/day
Direct care aides
LPN HPRD
1.1638hrs/resident/day
Licensed practical nurses
Consistency
0.3111std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Baltimore County Average-0.50 HPRD
3.97
03.47 HPRD
vs. Maryland State Average-0.45 HPRD
3.92
03.47 HPRD
vs. National Average-0.43 HPRD
3.90
03.47 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER ★
TOWSON · This facility
—
C
3.46910.618★☆☆☆☆
CHESTNUT GRN HLTH CTR BLAKEHUR
TOWSON
0.5 mi
A
4.54041.0189★★★★★
PICKERSGILL RETIREMENT COMMUNITY
TOWSON
0.6 mi
A+
5.89051.3037★★☆☆☆
AUTUMN LAKE HEALTHCARE AT RUXTON
TOWSON
1.1 mi
C
3.44150.4405★★☆☆☆
TOWSON REHABILITATION AND HEALTHCARE CENTER
TOWSON
1.3 mi
C
3.42740.6342★★★★★
COMPLETE CARE AT MULTI MEDICAL CENTER LLC
TOWSON
1.7 mi
B
4.08090.8952★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
104
Total Deficiencies
$50,122
Fines Assessed
Oct 17, 2025Health
12 deficiencies cited
▼
Mar 18, 2025Health
19 deficiencies cited
▼
Oct 22, 2024Health
14 deficiencies cited· Includes actual harm
▼
Jun 30, 2021Health
32 deficiencies cited
▼
Sep 26, 2018Health
27 deficiencies cited
▼

Penalty History

Oct 22, 2024Fine
$50,122
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.