St. Elizabeth Rehabilitation & Nursing Center in Baltimore has a 2-star overall rating, with 2-star health inspection and staffing ratings and 4-star quality measures. Staffing is below the federal benchmark (3.80 vs 4.1 hours per resident per day), and it has had $66,996 in fines in the last 24 months plus a recent abuse citation.
Last inspection: August 29, 2025Penalties, last 24 months: $66,996recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8041.
Staffing detail
Registered nurses
0.87
Licensed practical nurses
0.83
Nurse aides
2.10
Weekend nursing
3.36
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 76%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.7%Improving
Residents with a fall causing major injury
4.9%Worsening
Residents with pressure ulcers (bedsores)
6.4%Worsening
Residents with a urinary tract infection
1.9%Improving
Residents who lost too much weight
7.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
33.6%Improving
Residents whose ability to walk got worse
57.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.5%Improving
Short-stay residents newly given an antipsychotic
0.9%Steady
Residents with a long-term catheter
0.4%Worsening
Residents with new or worsening incontinence
38.1%Improving
Residents with depressive symptoms
13.5%Worsening
Long-stay residents given the seasonal flu vaccine
98%Steady
Long-stay residents given the pneumonia vaccine
94.5%Worsening
Short-stay residents given the seasonal flu vaccine
82.5%Steady
Short-stay residents given the pneumonia vaccine
55%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $50,655 was recorded.
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $16,341 was recorded.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $66,996 in total fines.
Federal fine
Aug 29, 2025
$50,655
Federal fine
Oct 16, 2024
$16,341
Operator & ownership
Ownership
Non profit - Other
Chain
Part of VIERRA COMMUNITIES · 3 homes · 2.5 stars avg
Occupancy
143.3 residents on an average day (88% of 162 beds)
Resident voice
Resident council
Medicare history
Certified for 59 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.