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Keswick Multi-Care Center

Nursing Home Facility

700 West 40th Street, Baltimore, MD 21211

Nursing Home Care In-Home Care Senior Living

Keswick Multi-Care Center is a senior care community located in Baltimore, MD. It provides nursing home care, in-home care, and senior living for older adults in the Baltimore area. To learn more or schedule a tour, call (410) 235-8860.

With 242 beds, Keswick Multi-Care Center is one of the larger communities in the area, senior care communities in Baltimore average about 53 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 65% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Baltimore average of roughly 88%.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Baltimore average about 2.9 stars. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2026 and recorded 18 deficiencies.

Residents receive about 4.4 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Communities in Baltimore average about 3.8 hours. Nursing staff turnover over the past year was about 38%.

The community is located in Baltimore City County, MD.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 58 problems at Keswick Multi-Care Center. None of them caused harm to a resident. 11 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, a pattern Environmental

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected March 2026, after a complaint. Corrected by April 9, 2026.

Show 10 more
  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide routine and 24-hour emergency dental care for each resident.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected March 2026. Corrected by April 9, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected March 2026. Corrected by April 9, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Keswick Multi-Care Center offers nursing home care, in-home care, and senior living.

Facility details

  • Organization type Non profit - Other
  • Beds / units 242
  • Occupancy 65%
  • Nursing hours per resident/day 4.4
  • Annual staff turnover 38%
  • Last health inspection March 2026

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