To put Maryland in context with other health care environments around the country, and with others studied here, we describe several characteristics of the state's nursing home environment. Comparative data presented are from the AHCA web site (AHCA, 2002). Maryland facilities are slightly larger than those in the rest of the country, with an average of 121 beds per facility (vs. 108). Fewer of Maryland's facilities are for-profit (57 percent vs. 65 percent), 13 percent are hospital-based, and 50 percent are chain-owned. There are a total of 262 facilities in the State, the majority of which (89.7 percent) are dually certified for Medicare and Medicaid.