Keswick Multi-Care Center

700 West 40th Street · Baltimore, MD · 21211 · 4102358860

242 certified beds Non profit - Corporation

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 43
Serious harm & abuse 20% 100
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 64
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.483.48 min · 4.1 strong
RN hours / resident-day0.870.55–0.75
Weekend hours / resident-day4.02≈ weekday level
Nursing turnover / year32%median 45%
Fines (3-yr window)none

Inspection citations (58 in the current record)

  • Potential for harm · D 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.

    Corrected April 9, 2026 · Resident Rights

  • Potential for harm · D March 3, 2026

    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.

    Corrected April 9, 2026 · Resident Rights

  • Potential for harm · D March 3, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 9, 2026 · Resident Rights

  • Potential for harm · D March 3, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected April 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 3, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · D March 3, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · D March 3, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · D 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.

    Corrected April 9, 2026 · Pharmacy Service

  • Potential for harm · D March 3, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 9, 2026 · Pharmacy Service

  • Potential for harm · D March 3, 2026

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · F March 3, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 9, 2026 · Nutrition and Dietary

  • Potential for harm · D March 3, 2026

    Dispose of garbage and refuse properly.

    Corrected April 9, 2026 · Nutrition and Dietary

  • Potential for harm · D March 3, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 9, 2026 · Infection Control

  • Potential for harm · D March 3, 2026

    Keep all essential equipment working safely.

    Corrected April 9, 2026 · Environmental

  • Potential for harm · E March 3, 2026

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected April 9, 2026 · Environmental

  • Potential for harm · E March 3, 2026

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected April 9, 2026 · Environmental

  • Potential for harm · D March 3, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected April 9, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 12, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 12, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E October 22, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 22, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 5, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 22, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 5, 2024 · Quality of Life and Care

  • Potential for harm · D October 22, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 5, 2024 · Quality of Life and Care

  • Potential for harm · D October 22, 2024 · found via complaint

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected December 5, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215037 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.