Maryland

Nursing Home Staffing Profile — 2025Q3

219 facilities22,855 residents3.92 avg HPRD

vs National Average

+0.02 HPRD

National avg: 3.90 · Maryland: 3.92

📋

Maryland ranks among the higher-performing states for nursing home staffing, with an average of 3.92 HPRD — 0.02 hours above the national average. Only 69.0% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.84 HPRD, with 40.6% of facilities meeting the 0.75 research recommendation.

3.92

Average Total HPRD

All nursing staff combined

▲ 0.02 vs national

0.84

Average RN HPRD

Recommended: 0.75

▲ 0.16 vs national

69.0%

Meet CMS Benchmark

151 of 219 facilities

14.1%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

8.4%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.68

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Maryland's 219 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.75

avg HPRD

178 facilities (81%)

Non-Profit

4.49

avg HPRD

37 facilities (17%)

Government

6.10

avg HPRD

4 facilities (2%)

💡 Non-profit facilities in Maryland average 0.74 more HPRD than for-profit ones — about 20% higher staffing.

▲ Best Staffed in Maryland

Top 5 by total nurse HPRD

A+

GARRETT COUNTY SUBACUTE UNIT

LITTLE SISTERS OF THE POOR

TRANSITIONAL CARE SERVICES AT MERCY MEDICAL CENTER

BALTIMORE

6.76 HPRD

RN: 2.80

▼ Most Understaffed in Maryland

Bottom 5 by total nurse HPRD

219

DEVLIN MANOR NURSING AND REHABILITATION CENTER

CHESTERTOWN NURSING AND REHAB

CALVERT COUNTY NURSING CTR.

BERLIN NURSING AND REHABILITATION CENTER

COMPLETE CARE AT LAPLATA LLC

LAPLATA

3.20 HPRD

RN: 0.71

⚖️

Compare Two Facilities Side by Side

Pick any two Maryland nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Maryland — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Baltimore	43	3.97	0.82	76.7%	Mixed B/C
▸Montgomery	33	3.76	0.74	72.7%	Mostly B
▸Baltimore City	27	4.06	0.92	85.2%	Mixed B/C
▸Prince Georges	19	3.88	0.75	68.4%	Mixed B/C
▸Anne Arundel	13	3.75	0.76	53.9%	Mostly C
▸Washington	10	4.02	0.87	60.0%	Mixed C/B
▸Carroll	10	3.96	0.85	90.0%	Mostly B
▸Allegany	8	3.38	0.64	12.5%	Mostly C
▸Frederick	8	3.69	0.79	75.0%	Mixed B/C
▸Harford	6	4.02	0.69	100.0%	Mixed A/B
▸Howard	6	4.40	1.09	83.3%	Mixed A+/B
▸Charles	4	3.45	0.62	50.0%	Mixed B/C
▸Garrett	4	5.54	2.02	50.0%	Mixed C/A+
▸Wicomico	4	5.30	1.80	50.0%	Mixed C/A+
▸Cecil	3	3.43	0.62	33.3%	Mostly C
▸Worcester	3	3.41	0.73	33.3%	Mostly C
▸St. Marys	3	3.89	0.64	100.0%	Mostly B
▸Kent	3	4.33	1.15	66.7%	Mixed A+/B
▸Calvert	3	3.67	0.83	33.3%	Mostly C
▸Dorchester	2	3.63	0.63	50.0%	Mixed B/C
▸Caroline	2	3.30	0.59	0.0%	Mostly C
▸Somerset	2	3.56	0.75	50.0%	Mixed B/C
▸Talbot	2	3.55	0.73	50.0%	Mixed B/C
▸Queen Annes	1	3.54	0.86	100.0%	Mostly B

HPRD Range in Maryland

The spread between best and worst staffed facilities

3.43

25th pctile

3.68

Median

4.10

75th pctile

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.