Keswick Multi-Care Center

Name: Keswick Multi-Care Center
Address: 700 WEST 40TH STREET, Baltimore, MD, 21211, US
Telephone: 4102358860

700 West 40th Street, Baltimore, MD 21211 · Baltimore City County · 242 certified beds · avg 156 residents/day · certified since Jan 1, 1967

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.84

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (58)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 3, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 3, 2026	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Mar 3, 2026	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 3, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Mar 3, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 3, 2026	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
May 12, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 12, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 22, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 22, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Oct 22, 2024	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 22, 2024	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Aug 15, 2019	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 15, 2019	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Aug 15, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 15, 2019	C · Minimal risk, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (14 → 18).

Year	Citations	Worst severity that year
2019	19	E
2024	19	F
2025	2	D
2026	18	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Maryland avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.84	3.83	3.95	top 12% in Maryland; top 16% in the U.S.
Registered Nurse hours	0.88	0.83	0.69	top 26% in Maryland; top 22% in the U.S.
Weekend total nurse staffing	4.41	3.43	3.50	top 11% in Maryland; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.54	0.63	0.48	top 46% in Maryland; top 29% in the U.S.
Total nursing staff turnover (%)	37.5	40.2	45.8	top 41% in Maryland; top 30% in the U.S.
RN turnover (%)	34.2	38.7	42.9	top 39% in Maryland; top 38% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.45, RN 0.81, weekend 4.05. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Figueroa, Regina	Individual	Direct Ownership Interest	NOT APPLICABLE	04/10/2023
Briscoe, Elizabeth	Individual	Corporate Director	NOT APPLICABLE	09/01/2019
C360, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/17/2023
Connectrn, INC.	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2020
Debruyn, Thjodie	Individual	Operational/Managerial Control	NOT APPLICABLE	01/14/2013
Deeley, Karen	Individual	Corporate Director	NOT APPLICABLE	06/30/2017
Diegelman, Ronald	Individual	Corporate Director	NOT APPLICABLE	04/24/2015
Figueroa, Regina	Individual	Operational/Managerial Control	NOT APPLICABLE	04/10/2023
Figueroa, Regina	Individual	ADP of the SNF	NOT APPLICABLE	02/06/2025
Flagship Rehabilitation, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/15/2015
Flagship Rehabilitation, INC	Organization	ADP of the SNF	NOT APPLICABLE	02/07/2025
Floyd Prue, Nancy	Individual	Corporate Director	NOT APPLICABLE	09/26/2017
Friends Services for the Aging	Organization	Trustee of the SNF	NOT APPLICABLE	04/01/2015
Friends Services for the Aging	Organization	ADP of the SNF	NOT APPLICABLE	02/07/2025
Gommel, Eric	Individual	Corporate Officer	NOT APPLICABLE	12/09/2024
Graning, Kathryn	Individual	Corporate Director	NOT APPLICABLE	11/21/2017
Gross Mendelsohn and Associates, Pa	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2009
Hemelt, Matthew	Individual	Corporate Director	NOT APPLICABLE	07/01/2018
Hooper, Jr., Lawrence	Individual	Corporate Director	NOT APPLICABLE	02/08/2019
Kipkoe, INC.	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Roland Park Rehabilitation and Healthcare Center	0.9 mi	Baltimore, MD	★★★☆☆	2/5
Autumn Lake Healthcare at Alice Manor	1.2 mi	Baltimore, MD	★★★☆☆	3/5
Future Care Homewood	1.3 mi	Baltimore, MD	★★★★☆	4/5
The Nursing and Rehab Center at Stadium Place	1.5 mi	Baltimore, MD	★★☆☆☆	2/5
Future Care Charles Village	1.6 mi	Baltimore, MD	★★★★☆	3/5
Future Care Sandtown-Winchester	1.9 mi	Baltimore, MD	★★★★☆	3/5
Autumn Lake Healthcare at Homewood	2.0 mi	Baltimore, MD	★☆☆☆☆	2/5	abuse
Northwest Healthcare Center	2.0 mi	Baltimore, MD	★★★★☆	4/5
Autumn Lake Healthcare at Long Green	2.1 mi	Baltimore, MD	★☆☆☆☆	1/5
Levindale Hebrew Ger Ctr & HSP	2.2 mi	Baltimore, MD	★★☆☆☆	2/5
Blue Point Healthcare Center	2.4 mi	Baltimore, MD	★★★☆☆	2/5
Good Samaritan Nursing Home Operator, LLC	2.8 mi	Baltimore, MD	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Baltimore →

Facility data as of CMS processing date 2026-08-01. CCN 215037.

The Care File

Visit checklist — Keswick Multi-Care Center

700 West 40th Street, Baltimore, MD 21211 · 4102358860

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215037 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)