Silver Spring, MD

Autumn Lake Healthcare At Arcola

3-star overall rating with 3-star inspections with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

901 Arcola Avenue, Silver Spring, MD

(301) 649-2400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

151

Certified beds

Average residents

143

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Autumn Lake Healthcare

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

60 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.11

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.46

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,923

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

38.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9912

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.81

Baseline 19.91% · Performance 18.74% · Measure score 5.81 · Achievement 5.81 · Improvement 3.56

Healthcare-associated infections

0

Baseline 7.52% · Performance 7.83% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.68

Performance 36.36% · Measure score 6.68 · Achievement 6.68 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.73

Baseline 3.46 hours · Performance 3.85 hours · Measure score 2.73 · Achievement 2.73 · Improvement 1.20

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.44%
10.72%
1.7 pts worse
No Different than the National Rate · Eligible stays 161 · Observed rate 12.42% · Lower 95% interval 9.1%
Discharge to community 7.8%
50.57%
42.8 pts worse
Worse than the National Rate · Eligible stays 165 · Observed rate 0.61% · Lower 95% interval 4.74%
Medicare spending per beneficiary 1.29
1.02
0.3 pts worse
Drug regimen review with follow-up 96.15%
95.27%
0.9 pts better
Numerator 75 · Denominator 78
Falls with major injury 1.28%
0.77%
0.5 pts worse
Numerator 1 · Denominator 78
Discharge self-care score 32.76%
53.69%
20.9 pts worse
Numerator 19 · Denominator 58
Discharge mobility score 55.17%
50.94%
4.2 pts better
Numerator 32 · Denominator 58
Pressure ulcers or injuries, new or worsened 3.85%
2.29%
1.6 pts worse
Numerator 3 · Denominator 78 · Adjusted rate 2.47%
Healthcare-associated infections requiring hospitalization 7.82%
7.12%
0.7 pts worse
No Different than the National Rate · Eligible stays 70 · Observed rate 8.57% · Lower 95% interval 4.68%
Staff COVID-19 vaccination coverage 95.9%
8.2%
87.7 pts better
Numerator 117 · Denominator 122
Staff flu vaccination coverage 73.29%
42%
31.3 pts better
Numerator 107 · Denominator 146
Discharge function score 39.66%
56.45%
16.8 pts worse
Numerator 23 · Denominator 58
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 36 · Denominator 36
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 25.64%
25.2%
0.4 pts better
Numerator 10 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.3
0.4 pts better
1.9
1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.3
1.2
0.9 pts better
1.8
1.5 pts better
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.2 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
91.9%
7.7 pts better
93.4%
6.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.2% · Q4 99.2% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.6%
3.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
2.3%
1.3 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 0.8% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.2%
21.4%
1.8 pts worse
11.4%
11.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 22.9% · Q3 22.5% · Q4 40.5% · 4Q avg 23.2%
Percentage of long-stay residents who lose too much weight 2.9%
5.7%
2.8 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.8% · Q3 1.6% · Q4 0.8% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.6%
16.1%
8.5 pts better
19.6%
12 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 7.4% · Q3 6.5% · Q4 7.3% · 4Q avg 7.6%
Percentage of long-stay residents who received an antipsychotic medication 26.3%
15.3%
11 pts worse
16.7%
9.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 26.2% · Q3 26.5% · Q4 27.3% · 4Q avg 26.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 21.0%
26.6%
5.6 pts better
16.3%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.8% · Q2 22.7% · Q3 12.8% · Q4 14.0% · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 32.0%
22.9%
9.1 pts worse
14.9%
17.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.2% · Q2 25.0% · Q3 34.5% · Q4 24.8% · 4Q avg 32.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.7%
0.3 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
1.5%
1.1 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.6%
25.4%
0.2 pts worse
19.8%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 26.5% · Q3 32.8% · Q4 24.5% · 4Q avg 25.6%
Percentage of long-stay residents with pressure ulcers 5.3%
6.3%
1 pts better
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.7% · Q3 7.7% · Q4 4.5% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
78.4%
20.2 pts better
81.7%
16.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.2% · Q3 97.1% · Q4 97.6% · 4Q avg 98.6%
Percentage of short-stay residents who had an outpatient emergency department visit 2.1%
9.9%
7.8 pts better
12.0%
9.9 pts better
Short Stay · 20240701-20250630 · Adjusted 2.1% · Observed 1.8% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.3%
0.3 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.2%
80.6%
18.6 pts better
79.7%
19.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 10.4%
21.2%
10.8 pts better
23.9%
13.5 pts better
Short Stay · 20240701-20250630 · Adjusted 10.4% · Observed 9.1% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-19 · Fire 2025-12-19

18 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-07-02 · Fire 2024-07-02

19 health deficiencies

Top issue: Resident Rights (5 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-08-28 · Fire 2019-08-28

20 health deficiencies

Top issue: Resident Rights (7 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-19

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2026-02-12

F · Potential for more than minimal harm 2025-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-12

E · Potential for more than minimal harm 2025-12-19

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-02-12

E · Potential for more than minimal harm 2025-12-19

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2026-02-12

E · Potential for more than minimal harm 2025-12-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-02-12

F · Potential for more than minimal harm 2024-07-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-14

F · Potential for more than minimal harm 2024-07-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-02

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-02

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-02

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-02

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-08-14

E · Potential for more than minimal harm 2024-07-02

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-14

D · Potential for more than minimal harm 2024-07-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-08-14

D · Potential for more than minimal harm 2019-08-28

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-08-31

D · Potential for more than minimal harm 2019-08-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-08-31

C · Minimal harm 2019-08-28

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2019-08-31

C · Minimal harm 2019-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-31

C · Minimal harm 2019-08-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-08-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2026-02-16

F · Potential for more than minimal harm 2025-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-16

E · Potential for more than minimal harm 2025-12-19

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2026-02-16

E · Potential for more than minimal harm 2025-12-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-02-16

D · Potential for more than minimal harm 2025-12-19

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2026-02-16

E · Potential for more than minimal harm 2024-07-02

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-07-02

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-07

E · Potential for more than minimal harm 2024-07-02

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-02-28

D · Potential for more than minimal harm 2024-07-02

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-07

D · Potential for more than minimal harm 2024-07-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-07

J · Immediate jeopardy 2019-08-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-10-25

J · Immediate jeopardy 2019-08-28

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-08-28

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2019-11-21

E · Potential for more than minimal harm 2019-08-28

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-08-28

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-08-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-08-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-08-28

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2019-10-25

D · Potential for more than minimal harm 2019-08-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-10-25

D · Potential for more than minimal harm 2019-08-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-11-21

D · Potential for more than minimal harm 2019-08-28

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-10-25

C · Minimal harm 2019-08-28

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2019-10-25

C · Minimal harm 2019-08-28

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2019-10-25

B · Minimal harm 2019-08-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-10-25

B · Minimal harm 2019-08-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-10-25

Penalties and ownership

What sits behind the stars

Ownership

901 Arcola Avenue Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2022-06-01
A&R Stern Family Md7 LLC

5% Or Greater Indirect Ownership Interest · Organization

100% 6 facilities 2022-06-01
Gbenle, Ademola

Operational/Managerial Control · Individual

0% 1 facilities 2023-12-10
Schwartz, Mark

Operational/Managerial Control · Individual

0% 55 facilities 2022-06-01
Schwartz, Mark

Corporate Officer · Individual

0% 55 facilities 2022-06-01
Sharma, Sandeep

Operational/Managerial Control · Individual

0% 1 facilities 2022-06-01

Nearby options

Other facilities in reach

#1

Montcare At Wheaton

Wheaton, MD

3-star overall rating with 2-star inspections with 30 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0
#2

Kensington Healthcare Center

Kensington, MD

3-star overall rating with 3-star inspections with $78,815 in total fines with 19 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$78,815
#3

Autumn Lake Healthcare At Oakview

Silver Spring, MD

3-star overall rating with 3-star inspections with 13 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

Jump out

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