Elder Care Record

Maryland › Baltimore City County › Baltimore

Keswick Multi-Care Center

700 West 40th Street, Baltimore, MD 21211

CCN 215037 · Non-profit, corporation · 242 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Keswick Multi-Care Center is a Non-profit, corporation nursing home in Baltimore, Maryland, certified for 242 beds and caring for about 156 residents a day.

CMS gives it 4 of 5 stars overall, above the Maryland median of 3; the health inspection rating is 3, staffing 5 and quality measures 4.

Inspectors recorded 58 health deficiencies across the three most recent survey cycles (18, 21, 19 by cycle, most recent first), none at the actual-harm level. That is 24.0 per 100 beds, fewer than the state median of 43.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.4 hours per resident per day (0.8 RN), close to the Maryland median of 3.6; nursing staff turnover is 37.5%.

58health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.4nurse hours per resident per daystate median 3.6
65%occupancy (residents ÷ beds)156 residents a day

Compared with county, state and nation

MeasureThis facilityBaltimore City Co. medianMaryland medianUS average
Overall star rating4333.0
Health citations, 3 cycles58534528.7
Citations per 100 beds24.046.243.726.8
Total nurse hours per resident day4.43.63.63.9
RN hours per resident day0.80.60.70.7
Nursing staff turnover37.5%44.8%41.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (27 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)18
Cycle 221
Cycle 319

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Mar 2026, 22 Oct 2024.

Severity mix: D ×50 E ×5 F ×2 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey9 Apr 2026
3 Mar 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey9 Apr 2026
3 Mar 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey9 Apr 2026
3 Mar 2026F0578Honor 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.DStandard survey9 Apr 2026
3 Mar 2026F0584Honor 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.DStandard survey9 Apr 2026
3 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey9 Apr 2026
3 Mar 2026F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey9 Apr 2026
3 Mar 2026F0641Ensure each resident receives an accurate assessment.DComplaint investigation9 Apr 2026
3 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey9 Apr 2026
3 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey9 Apr 2026
3 Mar 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey9 Apr 2026
3 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey9 Apr 2026
3 Mar 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey9 Apr 2026
3 Mar 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey9 Apr 2026
3 Mar 2026F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey9 Apr 2026
3 Mar 2026F0814Dispose of garbage and refuse properly.DStandard survey9 Apr 2026
3 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey9 Apr 2026
3 Mar 2026F0908Keep all essential equipment working safely.DStandard survey9 Apr 2026
12 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation26 Jun 2025
12 May 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation26 Jun 2025
22 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Dec 2024
22 Oct 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation5 Dec 2024
22 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation5 Dec 2024
22 Oct 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 Dec 2024
22 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation5 Dec 2024
22 Oct 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey5 Dec 2024
22 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey5 Dec 2024
22 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation5 Dec 2024
22 Oct 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation5 Dec 2024
22 Oct 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey5 Dec 2024
22 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation5 Dec 2024
22 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation5 Dec 2024
22 Oct 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation5 Dec 2024
22 Oct 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey5 Dec 2024
22 Oct 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey5 Dec 2024
22 Oct 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey5 Dec 2024
22 Oct 2024F0880Provide and implement an infection prevention and control program.DStandard survey5 Dec 2024
22 Oct 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey5 Dec 2024
22 Oct 2024F0887Educate 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.DStandard survey5 Dec 2024
15 Aug 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey29 Sep 2019
15 Aug 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey29 Sep 2019
15 Aug 2019F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey29 Sep 2019
15 Aug 2019F0584Honor 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.DStandard survey29 Sep 2019
15 Aug 2019F0641Ensure each resident receives an accurate assessment.DStandard survey29 Sep 2019
15 Aug 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey29 Sep 2019
15 Aug 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey29 Sep 2019
15 Aug 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey29 Sep 2019
15 Aug 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey29 Sep 2019
15 Aug 2019F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey29 Sep 2019
15 Aug 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Sep 2019
15 Aug 2019F0692Provide enough food/fluids to maintain a resident's health.DStandard survey29 Sep 2019
15 Aug 2019F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey29 Sep 2019
15 Aug 2019F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey29 Sep 2019
15 Aug 2019F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey29 Sep 2019
15 Aug 2019F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey29 Sep 2019
15 Aug 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey29 Sep 2019
15 Aug 2019F0880Provide and implement an infection prevention and control program.DStandard survey29 Sep 2019
15 Aug 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.CStandard survey29 Sep 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.45 h
Nurse aides2.49 h
LPN1.14 h
RN0.81 h
Weekend total4.05 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 37.5%, RNs 34.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay25.2%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.7%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay46.7%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.2%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay16.4%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Keswick Multi Care Center Inc.

OrganisationRole in the CMS recordInterestSince
Flagship Rehabilitation, IncOperational/managerial controlNOT APPLICABLE04/15/2015
Unidine CorporationOperational/managerial controlNOT APPLICABLE10/01/2012
Friends Services For the AgingTrustee of the snfNOT APPLICABLE04/01/2015
C360, LLCAdp of the snfNOT APPLICABLE07/17/2023
Connectrn, Inc.Adp of the snfNOT APPLICABLE01/01/2020
Flagship Rehabilitation, IncAdp of the snfNOT APPLICABLE02/07/2025
Friends Services For the AgingAdp of the snfNOT APPLICABLE02/07/2025
Gross Mendelsohn and Associates, PaAdp of the snfNOT APPLICABLE04/01/2009
Kipkoe, Inc.Adp of the snfNOT APPLICABLE11/03/2020
Loving Care Services, Inc.Adp of the snfNOT APPLICABLE10/29/2021
Marquette Associates, Inc.Adp of the snfNOT APPLICABLE01/01/2010
Ntiva, Inc.Adp of the snfNOT APPLICABLE12/15/2022
Pnc BankAdp of the snfNOT APPLICABLE01/02/2004
Unidine CorporationAdp of the snfNOT APPLICABLE02/07/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Baltimore City County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Future Care Canton HarborBaltimore1605545333.1$14K18 Sep 2025
Lochearn Nursing Home, LLCBaltimore2005433015.0—8 Jan 2026
Roland Park PlaceBaltimore165551487.5—17 Jun 2026
Transitional Care Services At Mercy Medical CenterBaltimore355551851.4—21 Nov 2025
Future Care Charles VillageBaltimore1094334339.4—21 May 2026
Future Care HomewoodBaltimore1414434834.0—30 Jun 2026
Future Care IrvingtonBaltimore2004434422.0$8K5 Sep 2025
Future Care Sandtown-WinchesterBaltimore1484343825.7—13 Apr 2026

All 27 facilities in Baltimore City County

Questions and answers

How many deficiencies has Keswick Multi-Care Center been cited for?

58 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Keswick Multi-Care Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Keswick Multi-Care Center compare?

Reported total nurse staffing is 4.4 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Keswick Multi-Care Center?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Flagship Rehabilitation, Inc and Unidine Corporation. Individual owners and managers are not listed on this site.

When was Keswick Multi-Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 3 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.