Keswick Multi-Care Center

    700 W 40th St, Baltimore, MD, 21211
    3.2 · 70 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Clean facility, inconsistent and dangerous

    I had a mixed, ultimately alarming experience. The building is clean, bright, with spacious rooms, active programs and excellent PT/OT-some nurses and aides were truly caring and professional. But care was inconsistent and at times dangerous: my mother fell, had missed tests/delayed meds, nearly developed sepsis, and family/POA were not properly informed; call bells went unanswered and I witnessed neglect (bedsores, residents left in urine). Management was disorganized and often rude-I'd consider it okay for short-term rehab only with constant oversight, but I would not trust it for complex medical needs.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    3.24 · 70 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.8
    • Meals

      1.9
    • Amenities

      3.8
    • Value

      3.3

    Pros

    • Clean, bright facility with well-maintained grounds
    • Private single-occupancy rooms with private bathrooms and natural light
    • Memory care unit and demonstrated dementia expertise
    • Good nurse-to-caregiver ratio reported by some reviewers
    • Experienced nurses and helpful nurse assistants
    • Strong rehabilitation programs (PT/OT) and successful post-op care
    • Continuum of care including rehab and in-house dialysis
    • Tailored meals to residents' dietary needs (in some reports)
    • Active, varied activities and enrichment programs (music, art, classes)
    • Caring, professional daytime staff who know residents by name
    • Low staff turnover reported by some families
    • Welcoming reception and hospitable front-line staff
    • Communities-for-Life program supporting independent living
    • Well-organized admissions and COVID-era safety measures noted by some
    • Kitchen and dining staff praised by multiple reviewers
    • Clean rooms, halls, and bright common spaces
    • Supportive therapy department described as gentle and effective
    • Career growth opportunities and staff investment mentioned positively

    Cons

    • Allegations of serious neglect resulting in bedsores, infections, sepsis, and death
    • Unresponsive or slow staff response to call bells and patient needs
    • Large variability in care quality across shifts (evening/weekend concerns)
    • Poor communication with families and inaccessible administration
    • Safety lapses: falls, broken bones, lack of bedside commodes, and inadequate supervision
    • Failure to change diapers, turn patients, or provide basic hygiene
    • Reports of resident abuse (physical, verbal, mental) and racist behavior
    • Bed bug infestation and other unsanitary conditions reported
    • Perception of profit-driven management and high billing focus
    • Lack of medical oversight; doctors not present on calls or delayed decisions
    • Refusal or hesitation to transfer to hospital/ambulance delays despite emergencies
    • Inconsistent food quality and complaints about meals
    • Unresponsive or ineffective social work and care coordination
    • Staff vaping/smoking and cigarette litter on premises
    • Premature discharges and inadequate rehabilitation follow-through
    • Unprofessional staff behavior: giggling near patients, yelling therapists
    • Allegations of withholding reports from authorities and unethical reporting
    • Allegations of sexual assault/rape and related processing concerns
    • No accommodations for couples
    • Hidden cleanliness problems despite outward appearance
    • Staffing shortages causing residents to be left in bed or chairs for long periods
    • Call bells unanswered or long delays; allegations staff avoid patients
    • Disorganized management and unresponsive admissions staff
    • Inconsistent showering/personal care (long gaps without showers)

    Summary review

    Overall sentiment in the reviews for Keswick Multi-Care Center is highly polarized: a substantial number of reviewers report excellent care, clean bright rooms, knowledgeable dementia programming, and strong rehabilitation services, while an equally significant cohort reports serious lapses in medical care, safety, and professional conduct. This creates a pattern of variability where outcomes appear to depend strongly on the particular unit, shift, or individual staff on duty. Families and reviewers describe both high-quality, attentive experiences and severe, even life-threatening failures — sometimes within the same facility.

    Facilities and environment: Many reviewers praise the physical plant. The facility is often described as very clean, bright, and well-maintained, with large windows, flowering plants, pleasant landscaping, and well-kept common areas. Private single-occupancy rooms with private bathrooms, abundant natural light, and comfortable furnishings are repeatedly mentioned as positives. Several reviewers singled out a welcoming receptionist and hospitable front-line staff, and some noted that there were no offensive odors. However, those positive impressions are counterbalanced by reports of hidden unsanitary conditions — including bed bug infestations and other cleanliness problems behind the scenes — indicating that outward appearance may not fully reflect ongoing infection-control concerns in all units.

    Care quality, medical oversight, and safety: A dominant theme is wide variation in clinical care. Positive reviews describe experienced nurses, helpful nurse assistants, excellent physical therapists, and successful inpatient rehab outcomes — for example, effective care after knee replacements and support for dialysis patients. The facility's dementia expertise and a memory-care unit are cited as strengths by multiple families, as is a perceived good nurse-to-caregiver ratio in some reports. Conversely, many reviewers report serious safety and clinical failures: untreated or late-stage bedsores, missed or delayed diagnoses (including near-fatal sepsis), failure to perform basic tasks (changing diapers, turning patients, providing showers), falls resulting in broken bones, and alleged failure to triage or transfer residents appropriately. Several reviews specifically allege that poor observation and assessment skills, particularly on evening and weekend shifts, led to significant harm. There are also recurring complaints that doctors or higher-level medical oversight were not readily available on calls.

    Staff behavior and consistency: Staff behavior and competency are one of the most polarizing themes. Numerous reviewers praise individual staff members — named nurses, aides, therapists, and kitchen staff — for professionalism, compassion, and going “above and beyond.” Some describe a low turnover culture and staff who know residents by name. At the same time, many reviews describe unresponsive, inattentive, or unprofessional staff: call bells unanswered or answered slowly, staff giggling on phones near ill residents, vaping/smoking on premises, yelling therapists, belittling management, and allegations of racism and abuse. Several reviews note a pattern where daytime staff appear professional and compassionate but evening and weekend shifts are poorly staffed and chaotic. These inconsistencies suggest staffing levels, training, and supervision vary significantly by time and unit.

    Administration, communication, and ethics: Communication problems and perceived administrative incompetence recur throughout the reviews. Families report difficulty reaching administrators or social workers, poor notification after incidents (including falls), and lack of transparency around critical events. There are allegations of profit-driven behavior, high billing, and focus on money over care. More serious ethical concerns are raised in multiple reviews: accusations of withholding reports from the state, false reporting against families, and even reports alleging sexual assault and rape with concerns about processing. These are grave charges made by reviewers and indicate the need for families to carefully investigate complaint histories and regulatory findings.

    Dining and activities: Opinions on dining are mixed. Some reviewers praise tailored meals and kitchen staff, while others criticize meal quality. Activities, adult education, and enrichment programs receive consistent praise: music programs (Musical Encounters), art classes, lectures, and a robust monthly calendar are repeatedly mentioned as improving residents' quality of life. The Communities-for-Life program, remote class offerings, and other engagement opportunities are viewed favorably and highlight the facility’s capability to provide mental and social enrichment when programs are functioning well.

    Patterns and red flags: The reviews form a pattern of extremes rather than a uniform middle ground. Recurrent red flags are: reports of untreated wounds/bedsores and sepsis; unanswered call bells; falls and poor fall prevention; inconsistent clinical assessment skills; poor communication and inaccessible administration; allegations of abuse, bed bugs, and withholding of information; and large variability across shifts or units. Positive clusters center on dementia programming, rehab/PT success, clean and comfortable rooms, and strong activity programming. The contrast in experiences suggests that outcomes may hinge on staffing ratios and leadership oversight in specific units or at particular times.

    Takeaway for families and prospective residents: Based on the reviews, Keswick delivers notably good outcomes for some residents — especially those needing rehabilitation, memory care expertise, or who experience caring, stable staff — but has also had serious, sometimes catastrophic, care failures according to multiple reviewers. Prospective families should perform targeted due diligence: visit multiple units and observe different shifts (day/evening/weekend), ask for recent state inspection reports and complaint histories, inquire about wound-care protocols and fall-prevention measures, confirm staffing ratios and supervision for nights/weekends, check how the facility handles emergent transfers, and ask how they investigate and report allegations of abuse or infestation. Given the range of experiences in these reviews, detail-oriented questions and verification of current practices are essential before making placement decisions.

    Location

    Map showing location of Keswick Multi-Care Center

    About Keswick Multi-Care Center

    Keswick Multi-Care Center sits at 700 W 40th St in Baltimore, MD and serves older adults with a wide range of care and living options, and you know they're always busy with something new-like their recent renovation project which turned their three-story, 18,719 square foot building into a place with a yoga room, dance room, exercise room, display kitchen for cooking classes, art room, classroom space, and places for folks to gather. They're licensed by the State of Maryland and are certified for both Medicaid and Medicare, while the center's got 175 private rooms in the long-term care unit for those who need more support, and the staff offers medical services, nursing, pastoral care, therapeutic recreation, social work, and memory care for Alzheimer's and dementia, on top of providing rehab like physical, occupational, and speech therapy. Folks can get help with daily needs such as dressing, bathing, eating, and toileting, and laundry and housekeeping services are available, since some days it's just about having a hot prepared meal, which they serve once or twice a day, and keeping up with chores. Keswick's got independent living options but also provides adult day care, home care, hospice, respite care for caregivers, and assisted living choices that fit different needs, from residential-style homes to apartments, plus the Wise & Well Center gives people over 50 a place aim toward health and wellness, using programs like Forever Strong, Shape, Sketch, Smile!, Qigong, and Strength to the Core, which keep everyone active, creative, and engaged. The goal is to help older adults live at home longer, with the MD Community For Life program and Wise Well programs offering support, classes, and services for those who'd rather not move to nursing homes unless they really need to. Keswick is open 24/7, welcomes visitors and residents of any age, and has ADA accessibility, coming under MedStar Health's umbrella, and the staff does ongoing cultural competency training to better serve Baltimore's diverse community. Their mission focuses on compassion, patient-centered care, and preserving independence and dignity for each resident, along with supporting caregivers through a resource center, and everything they do-nursing, rehab, social work, health programs-tries to keep everyone connected, moving, and as healthy as possible.

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