The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER
TOWSON, MD · Medicare-certified · 139 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. Health inspection and staffing are both 2 stars, while quality measures are 4 stars; reported nurse staffing is 3.59 hours per resident per day, below the 4.1 federal benchmark, and the facility had $50,122 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5891 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $50,122recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5891.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 1.18
- Nurse aides
- 1.82
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 73%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.8%3.4%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
11%7.7%Improving
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
12.4%8.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%16%Improving
Residents whose ability to walk got worse
—23.7%—
Long-stay residents on antianxiety or sleep medication
23.3%22.1%Improving
Short-stay residents newly given an antipsychotic
1.3%0%Improving
Residents with a long-term catheter
0.6%0%Improving
Residents with new or worsening incontinence
25.5%38.9%Worsening
Residents with depressive symptoms
80.2%80.5%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94.6%—
Long-stay residents given the pneumonia vaccine
94.9%98.9%Improving
Short-stay residents given the seasonal flu vaccine
—71.2%—
Short-stay residents given the pneumonia vaccine
57%53.4%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to properly watch nurse aides' work and provide regular training. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $50,122 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $50,122 in total fines.
- $50,122
Federal fine
Oct 22, 2024
Operator & ownership
Recent ownership change · Jul 1, 2018
Now operated by Orchard Hill Rehabilitation and Healthcare Center, previously Manorcare Health Services-dulaney.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MARQUIS HEALTH SERVICES · 89 homes · 3.1 stars avg
- Occupancy
- 121.6 residents on an average day (87% of 139 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.