King David Nursing and Rehabilitation Center
4204 Old Milford Mill Road · Baltimore, MD · 21208 · 4104861500
100 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (73 in the current record)
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Potential for harm · D April 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D April 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · F February 26, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026 · found via complaint
Dispose of garbage and refuse properly.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · D February 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 30, 2026 · Infection Control
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Potential for harm · E February 26, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 30, 2026 · Environmental
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No harm found · C February 26, 2026 · found via complaint
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D September 18, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 18, 2025 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 24, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025 · found via complaint
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected October 24, 2025 · Environmental
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Potential for harm · D April 21, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 15, 2025 · Resident Rights
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Potential for harm · D April 21, 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 June 15, 2025 · Resident Rights
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Potential for harm · D April 21, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 15, 2025 · Resident Rights
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Potential for harm · D April 21, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 15, 2025 · 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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215022 · 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.