Care-facility inspections
How nursing homes and care facilities in Maryland are inspected, licensed, and held to account.
9 laws · 8 enforcement actions · 3 guides · 2 court decisions
See the details
The laws 9
- Md. Code Ann., Health-General ("HG") §19-301 — the definitions section opening the Health Care Facilities licensing subtitle (HG Title 19, Subtitle 3), defining "hospital," "license," "related institution," "domiciliary care," and "accredit… mgaleg.maryland.gov
- HG §§19-319 to 19-320 — qualifications an applicant and the facility must meet to be issued a license (character requirements, a Certificate of Need under HG Title 19, Subtitle 1), and the required contents/verification of the license appli… mgaleg.maryland.gov
- HG §19-327 — grounds for the Secretary of Health to deny or revoke a related-institution/hospital license: mandatory denial/revocation for a felony conviction relating to Medicaid or a nursing home, discretionary denial/revocation for other… mgaleg.maryland.gov
- HG §19-328 — the Secretary's authority to immediately restrict new admissions to a "related institution" (nursing home) for up to 30 days on a finding of a life-threatening, health, or fire-safety deficiency, with a 7-day hearing right for… mgaleg.maryland.gov
- HG §§19-343 through 19-345 — the facility Residents'/Patient's Bill of Rights subtitle applicable to "facility" (comprehensive care and extended care facilities): the General Assembly's statement of each resident's basic rights (dignity, ad… mgaleg.maryland.gov
- HG §§19-361 through 19-363 — the "intermediate sanction" enforcement track for a related institution: where a "hazardous condition" (a departmental-regulation violation likely to endanger health, life, or safety, short of the life-threateni… mgaleg.maryland.gov
- HG §§19-1401 through 19-1403 — the Nursing Home civil-money-penalty subtitle: definitions ("actual harm deficiency," "concurrent review"), the Secretary's menu of sanctions for a deficiency (directed plan of correction, mandated staffing le… mgaleg.maryland.gov
- HG §19-1801 — the Assisted Living Programs subtitle (HG Title 19, Subtitle 18) definitions section: defines "assisted living program" (a residential/facility-based program providing housing plus supportive, personalized-assistance, or healt… mgaleg.maryland.gov
- HG §19-1809 — operating an assisted living program without a license is a felony (up to $10,000/5 years for a first offense, up to $20,000/5 years for a subsequent offense); mgaleg.maryland.gov
Know your rights 3
- OHCQ "Long Term Care" program guidance page — plain-language description distinguishing a comprehensive care facility from an extended care facility, cites COMAR 10.07.02 and 10.07.09 as the governing regulations, links the Initial Nursing… health.maryland.gov
- OHCQ "Assisted Living Programs" guidance page — program description tracking the HG §19-1801 statutory definition and exclusions, notes that COMAR 10.07.14 "underwent extensive revision" effective April 28, 2025, and lists provider resource… health.maryland.gov
- OHCQ "Protecting Older and Vulnerable Adults in Maryland" guidance page — defines physical, financial, psychological, and sexual abuse plus neglect and self-neglect; health.maryland.gov
Enforcement actions 3
- Maryland Office of the Attorney General, Medicaid Fraud and Vulnerable Victims Unit (MFVVU) press release — a $1,289,679 settlement with Elkton SNF, LLC and Elkton Health Holdco, LLC, d/b/a Elkton Nursing and Rehabilitation Center (Cecil Co… oag.maryland.gov
- Maryland OAG Medicaid Fraud and Vulnerable Victims Unit press release — Falguni Patel, a former employee of HomeCentris Healthcare, LLC (a Maryland-licensed home health agency, formerly Personal Health Care, Inc.), convicted and sentenced f… oag.maryland.gov
- Maryland OAG Medicaid Fraud and Vulnerable Victims Unit press release — Danielle Lucas, an employee of Taylor & Jackie Assisted Living Facility (Baltimore City), convicted of felony theft for paying $3,722.66 of her own rent out of a reside… oag.maryland.gov
Orders & settlements 5
- COMAR 10.07.02, Nursing Homes — the Maryland Department of Health's comprehensive licensing regulation chapter for comprehensive care and extended care facilities (49+ sections: .01 Definitions through physical-plant and staffing rules); regs.maryland.gov
- COMAR 10.07.09, Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities — the regulation implementing HG §§19-343 to 19-345, covering admission procedures/prohibitions, the admission contract and third-party-si… regs.maryland.gov
- COMAR 10.07.14, Assisted Living Programs — the licensing chapter for assisted-living programs (license required, levels of care, licensing procedure, staffing plan, manager training, admission/resident-agreement requirements, medication man… regs.maryland.gov
- COMAR 10.07.10, Home Health Agencies — the licensing chapter for Maryland home health agencies, including .03 Application for a License, .05 Inspections, .06 Administrative Enforcement, .07 Notice to Patients, and .14 Patient's Bill of Righ… regs.maryland.gov
- COMAR 10.12.04, Day Care for the Elderly and Adults with a Medical Disability — the licensing chapter for adult medical day care centers (license required, licensing procedure, compliance monitoring, admission criteria, participant rights,… regs.maryland.gov
Court decisions 2
- Department of Health & Mental Hygiene, Office of Health Care Quality v. VNA Hospice of Maryland, 176 Md. App. 475, 933 A.2d 512 (Md. Ct. Spec. App. courtlistener.com
- Walton v. Mariner Health of Maryland, Inc., 391 Md. 643, 894 A.2d 584 (2006) — Maryland Court of Appeals (the state's highest court) decision on the enforceability of nursing-home admission-contract arbitration clauses against residents/the… courtlistener.com
Official notices 4
- Office of Health Care Quality, Fiscal Year 2025 Annual Report (submitted Jan. 15, 2026 to the President of the Senate and Speaker of the House pursuant to HG §19-308(b)(4) and §19-1409(e)) — reports OHCQ oversees 23,095 licensed/certified p… health.maryland.gov
- OHCQ provider memorandum to "All Licensed Assisted Living Programs" (dated July 1, 2026, from the Acting Deputy Director of State Programs) on Emergencies, Disaster Planning, and Reporting — reminds ALPs of the COMAR 10.07.14.47 Emergency P… health.maryland.gov
- OHCQ provider memorandum to "All Licensed Nursing Homes" (dated July 1, 2026, from the Deputy Director, Long Term Care) on Emergencies, Disaster Planning and Reporting — the nursing-home counterpart to the assisted-living memo above, citing… health.maryland.gov
- OHCQ "Resident Abuse" required-posting notice (rev. Nov. 2019) — the mandatory nursing-home posting instructing staff and visitors that suspected abuse of a resident must be reported promptly to the local police department and to OHCQ, with… health.maryland.gov