Orchard Hill Rehabilitation and Healthcare Center
111 West Road · Towson, MD · 21204 · 4108286500
139 certified beds For profit - Individual Chain: Marquis Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$50,122 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 1 · $50,122 |
Inspection citations (108 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 21, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 19, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026 · found via complaint
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected February 19, 2026 · Administration
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Potential for harm · D October 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 22, 2025 · Resident Rights
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Potential for harm · D October 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 17, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · D October 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · E October 17, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 22, 2025 · Nursing and Physician Services
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Potential for harm · D October 17, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 22, 2025 · Pharmacy Service
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Potential for harm · D October 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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No harm found · C October 17, 2025 · found via complaint
Post nurse staffing information every day.
Corrected December 22, 2025 · Nursing and Physician Services
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Potential for harm · D March 18, 2025
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 28, 2025 · Resident Rights
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Potential for harm · D March 18, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D March 18, 2025
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 28, 2025 · Resident Rights
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Potential for harm · D March 18, 2025
Assess the resident when there is a significant change in condition
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 2025
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 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 18, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 28, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 22, 2024 | Fine | $50,122 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215069 · certified since July 31, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.