State plate · MD
Assisted living in Maryland
Maryland licenses assisted living through MDH, Office of Health Care Quality, under the license types Assisted Living Program Levels 1-3; special care beds. The state's own list, as of October 24, 2026, counts 1,677 licensed facilities with 26,767 beds; 201 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 16 FHA-insured assisted living loans in Maryland with $127.2 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- MDH, Office of Health Care Quality
- License types
- Assisted Living Program Levels 1-3; special care beds
- Official program page
- health.maryland.gov
- Facility list
- XLSX (2026-10-02)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
Licensed supply, from the state's list
| Facilities on the list | 1,677 |
|---|---|
| Licensed beds | 26,767 |
| Facilities with 20 or more beds | 201 (12% of facilities, 62% of beds) |
| Homes with 6 or fewer beds | 908 |
| Median size | 5 beds |
| Memory care | 3,347 special care beds in 109 facilities |
Covers: Assisted living programs. Source: health.maryland.gov, as of October 24, 2026.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Maryland | US |
|---|---|---|
| Communities | 1,000 | 30,600 |
| Beds | 19,600 | 1,197,600 |
| Average beds per community | 19 | 39 |
| For-profit | 77.1% | 81.9% |
| Chain affiliated | 66.5% | 61.4% |
| Medicaid certified | 34.8% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | n/a | 20.5% |
| Residents 85 and older | 53.7% | 49.9% |
| Residents with Alzheimer disease or other dementias | 55.7% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 16
- Outstanding
- $127.2 million
- Median note rate
- 3.02%
- Endorsed since FY2001
- 38
Since fiscal 2001 HUD has endorsed 38 FHA-insured assisted living loans in Maryland for $350.5 million of original principal, 6 of them for new construction or substantial rehabilitation, and 8 since fiscal 2021. 1 of today's active loans carry a note rate of 5% or more.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Woman's Mill Assisted Living and Memory CareFHA 05243096 | Frederick | 168 | Apr 2021 | 3.50% | $25,680,967 | Dec 2062 |
| Morningside House of Satyr HillFHA 05222137 | Parkville | 87 | May 2021 | 2.65% | $17,650,091 | Jun 2056 |
| Morningside House of Ellicott CityFHA 05222138 | Ellicott City | 105 | May 2021 | 2.65% | $16,358,126 | Jun 2056 |
| Gull Creek Assisted LivingFHA 05222146 | Berlin | 84 | Jul 2022 | 3.83% | $12,324,233 | Aug 2057 |
| The Cottages at Perry HallFHA 05222156 | Parkville | 64 | Jan 2025 | 5.70% | $10,364,616 | Feb 2060 |
| Morningside House of FriendshipFHA 05222139 | Hanover | 75 | May 2021 | 2.65% | $7,883,974 | Jun 2056 |
| Morningside House of St. CharlesFHA 05222135 | Waldorf | 71 | May 2021 | 2.65% | $7,218,096 | Jun 2056 |
| Morningside House of LaurelFHA 05222136 | Laurel | 87 | May 2021 | 2.65% | $5,322,240 | Jun 2056 |
| HearthomesFHA 05222126 | Annapolis | 128 | Mar 2020 | 3.67% | $4,949,490 | Apr 2055 |
| The Kensington/country HouseFHA 05222110 | Cumberland | 206 | Dec 2017 | 3.50% | $4,474,396 | Jan 2048 |
| Eden Homes GroupFHA 00022030 | Bethesda | 32 | Dec 2014 | 2.84% | $4,469,675 | Jan 2050 |
| Regency Park Assisted LivingFHA 05222052 | Gambrills | 55 | Jul 2010 | 4.57% | $2,986,670 | Aug 2045 |
| Independence Ct of HyattsvilleFHA 00022008 | Hyattsville | 120 | Mar 2003 | 3.75% | $2,454,979 | Apr 2038 |
| Abbey Manor at Elkton I & IIFHA 05222102 | Elkton | 32 | Apr 2015 | 3.20% | $2,144,567 | May 2050 |
| Paradise Assisted LivingFHA 05243091 | Catonsville | 45 | Sep 2012 | 2.45% | $1,614,532 | Dec 2044 |
| Victorian EstatesFHA 05222072 | Bel Air | 16 | Feb 2013 | 2.72% | $1,301,509 | Mar 2043 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Maryland? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.