King David Nursing and Rehabilitation Center

    4204 Old Milford Mill Rd, Baltimore, MD, 21208
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Good short-term rehab, long-term concerns

    I had a mixed experience. The rehab, many nurses and aides were excellent - caring, skilled, and helped with real progress - and the front desk and activities were pleasant and professional. But administration, communication, and staff retention are poor: care was inconsistent and sometimes neglectful (missed showers/soiled depends, medication/food errors, unresolved maintenance), so I'd trust it for short-term rehab but be very cautious for long-term placement.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

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

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.33 · 201 reviews

    Overall rating

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

      4.3
    • Staff

      4.3
    • Meals

      2.8
    • Amenities

      2.3
    • Value

      2.0

    Pros

    • Strong, skilled rehabilitation (PT/OT/Speech) teams
    • Caring, compassionate and attentive day staff and many GNAs
    • Engaging daily activities and therapeutic arts programs
    • Warm, Jewish-friendly environment with rabbi and cultural support
    • Friendly, helpful reception/concierge staff
    • Modern, well-equipped rehab gym and therapy spaces
    • Good short-term/rehab cleanliness and welcoming entrances
    • Many individual staff singled out as going above and beyond
    • Responsive communication from some administrators and social workers
    • Effective use of Zoom/outdoor visits during COVID restrictions
    • Coordinated discharge planning and home-care arrangements in some cases
    • Frequent positive family communication and email updates
    • Large, sometimes spacious rooms in certain units
    • Housekeeping praised in many reports
    • Personalized encouragement and motivational therapists
    • Kosher meal service meeting cultural/religious needs for some residents
    • Some consistently reliable frontline nurses and aides
    • Activities that foster community and morale (Holiday events, Bingo)
    • Perceived value for short-term rehab stays by many families
    • Quick problem resolution reported by numerous reviewers

    Cons

    • Inconsistent nursing quality, especially on nights/weekends
    • Frequent understaffing and overworked aides
    • Long-term care reported as neglectful or minimal in many reviews
    • Repeated reports of residents left in soiled garments or feces/urine
    • Serious cleanliness issues in some rooms (rodents, roaches, peeling paint)
    • Dietary problems: cold, missing, inedible or inappropriate meals
    • Poor adherence to dietary restrictions and inconsistent menu delivery
    • Medication errors and poor doctor–nurse communication (including overdose)
    • High staff turnover and inexperienced temporary workers
    • Management indifference, inconsistent leadership, and communication gaps
    • Safety incidents (unreported falls, ER visits, unsafe discharges)
    • Inadequate supplies (toiletries, extra linens, clean footwear) reported
    • Facility is uneven: modern rehab wing vs outdated long-term areas
    • Unprofessional or sarcastic behavior by some GNAs and aides
    • Delayed or absent response to call bells and urgent needs
    • Allegations of deceptive reporting/collusion and threats over finances
    • Food-safety incidents reported (food poisoning, vomiting, hospitalization)
    • Bathrooms not always handicap-accessible or adequately maintained
    • Inconsistent continuity of therapy for long-term residents
    • Occasional lack of family communication and poor updates from physicians
    • Minimal or “auto-pilot” care described by multiple families
    • Physical environment described as depressing or antiquated in places
    • Some reports of overmedication, bedsores and worsening conditions
    • Poor night/weekend nursing coverage and responsiveness
    • Inconsistent housekeeping in lower levels vs upper/rehab floors

    Summary review

    The reviews for King David Nursing and Rehabilitation Center are highly polarized but reveal consistent themes when aggregated. The facility receives strong, repeated praise for its rehabilitation services: physical, occupational, and speech therapy teams are described as skilled, motivating, and instrumental in many successful recoveries. The rehab wing and therapy gym are frequently described as modern, well-equipped, bright, and effective. Many families and patients highlight particular therapists and staff by name and credit the therapy program with significant functional gains and timely discharges home.

    Daytime frontline staff — receptionists, many GNAs, and several nurses — are frequently characterized as compassionate, friendly, and attentive. Numerous reviews describe warm personal touches, helpful concierge service, effective social work interventions, and a welcoming Jewish cultural environment with rabbinical support and kosher meal options. Activities programming, therapeutic arts, and community events (e.g., Bingo, Veterans Day tributes) are highlighted as assets that boost morale and engagement. When management and specific administrators or social workers are involved, some families report efficient, empathetic handling of complex issues and good communication by email or phone.

    However, a substantial and concerning cluster of reviews points to serious deficiencies — primarily concentrated in long-term care, night/weekend coverage, dietary services, and facility-wide consistency. Many reviewers report that long-term residents experienced inadequate basic care: being left in soiled diapers or linens for extended periods, bathing and toileting needs neglected, leaking toilets unaddressed, and lack of extra supplies such as clean socks or sheets. Several accounts describe residents left in urine or feces for an hour or more. These incidents, along with reports of bedsores, possible overmedication, and at least one alleged medication overdose due to poor communication, point to safety and quality-of-care lapses that families found alarming.

    Dining and nutrition are recurring pain points. While some reviewers praise tasty, nutritious meals, a large subset describe cold, missing, or inedible food; meals arriving incomplete or with wrong items for restricted diets; and instances of weight loss or even food poisoning requiring hospitalization. Dietary adherence appears inconsistent, and families reported having to monitor meal delivery and content closely. Complaints about portion sizes, lack of beverages, no clear menu, and the kitchen’s inability to reliably meet therapeutic diet requirements appear repeatedly.

    Cleanliness and the physical condition of the building are described as highly variable. Many reviewers praise the cleanliness of the rehab area and upper floors, noting bright, welcoming spaces. Conversely, other reviewers report significant problems in long-term or lower-floor areas — peeling paint, stained linens, mouse/rodent sightings, roaches, very small or rough towels, and overall aged or depressing surroundings. This unevenness appears to map to differences between the modern rehab wing and older long-term units. Several reviewers explicitly moved loved ones after encountering pests or extreme uncleanliness.

    Management, staffing, and organizational culture emerge as mixed. Some families commend specific administrators and social workers for responsiveness and advocacy. Others report indifference, poor follow-through, collusion among staff to conceal incidents, threats related to residents’ finances, and high turnover that leaves temporary or inexperienced workers caring for complex patients. Night and weekend staffing shortages — and the related slow or absent responses to call bells — are repeatedly cited. These staffing inconsistencies contribute to a perception that quality depends heavily on which shift or unit a resident is on and which individual caregivers are present.

    Given the pattern in these reviews, the overall recommendation is nuanced: King David appears to excel at short-term, intensive rehabilitation care with strong therapy teams, supportive daytime staff, active programming, and positive discharge planning in many cases. Families looking for rehab-centric, time-limited stays often report excellent outcomes. In contrast, prospective long-term residents and their families should exercise caution. The long-term units show a higher frequency of neglect and environmental concerns in these reports, and several serious safety and quality incidents were described that merit attention.

    Practical implications for families considering King David: verify staffing levels for the unit and shifts relevant to your loved one (especially nights/weekends), ask to tour the specific long-term unit rather than only the rehab wing, obtain recent state inspection and incident reports, clarify dietary protocols for therapeutic needs, and confirm how the facility addresses pest control and housekeeping. If choosing King David for a short-term rehab stay, emphasize therapy goals and confirm continuity of daily PT/OT. If considering long-term placement, monitor hygiene, toileting, and medication administration closely and establish clear lines of communication with management and social work.

    In summary, the facility demonstrates notable strengths in rehabilitation, many dedicated and praised staff members, and meaningful cultural/activities programming. Yet significant and repeated reports of neglect, inconsistent dietary and nursing care, cleanliness issues, and management variability make it essential for families to investigate unit-specific performance and shift coverage before committing to long-term placement. The experience at King David appears to vary widely by unit, shift, and individual staff, producing both standout success stories and deeply concerning failures in basic care.

    Location

    Map showing location of King David Nursing and Rehabilitation Center

    About King David Nursing and Rehabilitation Center

    King David Nursing and Rehabilitation Center sits in Pikesville, MD, and offers a wide range of care services for seniors, including assisted living, memory care, independent living, nursing home care, and home care, and it serves both the local Baltimore area and nearby communities. The center gives round-the-clock skilled nursing and personalized care, whether someone needs help with daily living or advanced medical needs, and its in-house specialists and nurses cover things like medication support, wound care, and pain management, with podiatry on-site and specialized care for complex health conditions. Folks find both short-term rehab and long-term stays here, with state-of-the-art rehabilitation equipment and a gym, and therapy is available seven days a week using hands-on, progressive techniques that focus on restoring strength and independence, all led by a multidisciplinary care team aiming to help each resident meet their personal recovery or health goals.

    King David's services also cover nutritious dining-many in the community have praised the meals here, which are planned by chefs and meal planners-and the best part for some is that this is the only exclusive kosher facility in the area, which makes it especially welcoming for residents seeking that. Meals are served in a dedicated dining room, and the atmosphere across the property is warm and inviting, with newly renovated, airy rooms and guest parking. Residents choose from studios or one-bedroom apartments, and rooms come with bathrooms, kitchens or kitchenettes, cable TV, and access to washers and dryers. The center offers both private and semi-private rooms, with monthly rates from $8,000 to $13,000 for private or $6,500 to $11,500 for semi-private, and the property has 100 certified beds, usually serving about 98 residents per day.

    King David also makes things accessible with handicap features, a sprinkler system for safety, and transportation services when residents need to go somewhere. There are fitness classes, arts and crafts, social activities, and ongoing educational and wellness programs, so residents can stay busy or engaged throughout the week if they want. Housekeeping and laundry and dry-cleaning services are included, and for those who need help, care assistants support daily routines such as dressing, bathing, grooming, and toileting. The property includes places for games and activities, a salon and barbershop, Wi-Fi, and guest amenities so family can visit comfortably. The center is also the official skilled nursing partner of the Baltimore Ravens, which some people find to be an interesting fact.

    Some care ratings have been positive, as the facility's nurse hours per resident each day, at 4.14 hours, is a bit higher than the state average of 3.9, though nurse turnover at 45.1% is also slightly higher than the Maryland average of 41.5%. King David received the Best of Senior Living award, but there's also a record of inspection findings; the latest inspection on April 30, 2021, found 24 deficiencies, which included areas like pain management, drug labeling and storage, and nurse staffing information. King David is independently owned and operated, though it's licensed to use the Autumn Lake Healthcare name for non-healthcare services, while the center itself directly provides healthcare services.

    Through all this, King David Nursing and Rehabilitation Center focuses on maintaining a homelike environment, caring atmosphere, and structured community, trying to balance medical support with a full calendar of daily activities, and giving a restive place to recover, live, and enjoy meals with neighbors, all within a safe and kosher setting.

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