Cycle 1
Health 2025-09-25 · Fire 2025-09-25
20 health deficiencies
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Crofton, MD
Autumn Lake Healthcare At Crofton
4-star overall rating with 3-star inspections with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2131 Davidsonville Road, Crofton, MD
(410) 721-1000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
180
Certified beds
Average residents
163
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Autumn Lake Healthcare
Operator or chain grouping
Approved since
1980-01-01
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
0.36
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.63
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,388
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.46
Baseline 20.68% · Performance 20.75% · Measure score 1.46 · Achievement 1.46 · Improvement 0
Healthcare-associated infections
0
Baseline 7.74% · Performance 8.96% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.67
Baseline 53.93% · Performance 40.52% · Measure score 5.67 · Achievement 5.67 · Improvement 4.11
Adjusted total nurse staffing
1.09
Baseline 3.37 hours · Performance 3.39 hours · Measure score 1.09 · Achievement 1.09 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.64% |
10.72%
3.9 pts worse
|
Worse than the National Rate · Eligible stays 936 · Observed rate 15.28% · Lower 95% interval 12.3% |
| Discharge to community | 66.01% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 951 · Observed rate 59.62% · Lower 95% interval 62.93% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.6% |
95.27%
2.3 pts better
|
Numerator 528 · Denominator 541 |
| Falls with major injury | 0.55% |
0.77%
0.2 pts better
|
Numerator 3 · Denominator 541 |
| Discharge self-care score | 47.81% |
53.69%
5.9 pts worse
|
Numerator 175 · Denominator 366 |
| Discharge mobility score | 49.18% |
50.94%
1.8 pts worse
|
Numerator 180 · Denominator 366 |
| Pressure ulcers or injuries, new or worsened | 2.03% |
2.29%
0.3 pts better
|
Numerator 11 · Denominator 541 · Adjusted rate 1.72% |
| Healthcare-associated infections requiring hospitalization | 8.96% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 570 · Observed rate 8.95% · Lower 95% interval 6.86% |
| Staff COVID-19 vaccination coverage | 24.73% |
8.2%
16.5 pts better
|
Numerator 68 · Denominator 275 |
| Staff flu vaccination coverage | 58.13% |
42%
16.1 pts better
|
Numerator 168 · Denominator 289 |
| Discharge function score | 53.83% |
56.45%
2.6 pts worse
|
Numerator 197 · Denominator 366 |
| Transfer of health information to provider | 98.62% |
95.95%
2.7 pts better
|
Numerator 143 · Denominator 145 |
| Transfer of health information to patient | 97.08% |
96.28%
0.8 pts better
|
Numerator 333 · Denominator 343 |
| Resident COVID-19 vaccinations up to date | 30.92% |
25.2%
5.7 pts better
|
Numerator 77 · Denominator 249 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.0 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
91.9%
7.9 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
96.6%
2.5 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.3%
1.6 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
21.4%
16.7 pts better
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.3% · Q3 6.8% · Q4 7.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
5.7%
1.1 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.2% · Q3 2.2% · Q4 3.2% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% |
16.1%
8.3 pts better
|
19.6%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.3% · Q3 7.4% · Q4 8.6% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.5% |
15.3%
5.8 pts better
|
16.7%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 9.0% · Q3 7.6% · Q4 8.1% · 4Q avg 9.5% · 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 | 44.7% |
26.6%
18.1 pts worse
|
16.3%
28.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 44.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.1% |
22.9%
4.2 pts worse
|
14.9%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.8% · Q2 24.4% · Q3 22.9% · Q4 21.0% · 4Q avg 27.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.5%
0.5 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.9% |
25.4%
2.5 pts worse
|
19.8%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 24.6% · Q3 31.7% · Q4 34.0% · 4Q avg 27.9% |
| Percentage of long-stay residents with pressure ulcers | 2.5% |
6.3%
3.8 pts better
|
5.1%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.2% · Q3 1.5% · Q4 2.1% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.4% |
78.4%
20 pts better
|
81.7%
16.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 99.4% · Q3 98.4% · Q4 97.8% · 4Q avg 98.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
9.9%
0.7 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.8% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.4% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.4% |
80.6%
18.8 pts better
|
79.7%
19.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
21.2%
5.3 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 26.0% · Expected 23.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-20 · Fire 2024-02-20
13 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Cycle 3
Health 2019-03-25 · Fire 2019-03-25
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-25
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2026-01-17
F · Potential for more than minimal harm
2025-09-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-17
E · Potential for more than minimal harm
2025-09-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-17
D · Potential for more than minimal harm
2025-09-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-17
F · Potential for more than minimal harm
2024-02-20
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-09
F · Potential for more than minimal harm
2024-02-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-20
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 2024-04-09
E · Potential for more than minimal harm
2024-02-20
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-20
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-20
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-02-20
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-09
D · Potential for more than minimal harm
2024-02-20
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-04-09
F · Potential for more than minimal harm
2019-03-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-03-27
F · Potential for more than minimal harm
2019-03-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-16
F · Potential for more than minimal harm
2019-03-25
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-03-27
E · Potential for more than minimal harm
2019-03-25
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-04-01
D · Potential for more than minimal harm
2019-03-25
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-03-22
D · Potential for more than minimal harm
2019-03-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-03-27
C · Minimal harm
2019-03-25
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-04-16
B · Minimal harm
2019-03-25
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-03-23
B · Minimal harm
2019-03-25
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-03-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-25
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 2025-11-01
F · Potential for more than minimal harm
2025-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
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 2025-11-01
D · Potential for more than minimal harm
2025-09-25
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 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
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 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
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 2025-11-01
D · Potential for more than minimal harm
2025-09-25
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 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F941 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-11-01
D · Potential for more than minimal harm
2025-09-25
F946 · Administration Deficiencies
Health
Provide training in compliance and ethics.
Corrected 2025-11-01
D · Potential for more than minimal harm
2024-02-20
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-20
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-04-04
D · Potential for more than minimal harm
2024-02-20
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 2024-04-04
D · Potential for more than minimal harm
2024-02-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-04
D · Potential for more than minimal harm
2019-03-25
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 2019-04-26
D · Potential for more than minimal harm
2019-03-25
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-04-26
D · Potential for more than minimal harm
2019-03-25
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 2019-04-26
D · Potential for more than minimal harm
2019-03-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-26
Penalties and ownership
What sits behind the stars
Ownership
A&R Stern Family Cc Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Meisels, Morris
5% Or Greater Direct Ownership Interest · Individual
2131 Davidsonville Propco LLC
5% Or Greater Mortgage Interest · Organization
Accurate Staffing LLC
Operational/Managerial Control · Organization
Brand Sonnenschine Llp
Operational/Managerial Control · Organization
Mugera, Charles
Operational/Managerial Control · Individual
Schwartz, Mark
Operational/Managerial Control · Individual
Schwartz, Mark
Corporate Officer · Individual
Wheat, Mary
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Autumn Lake Healthcare At Waugh Chapel
Gambrills, MD
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Fairfield Nursing & Rehabilitation Center
Crownsville, MD
2-star overall rating with 2-star inspections with $51,597 in total fines with 33 recent health deficiencies with 31 fire-safety deficiencies in the latest cycle
#3
Larkin Chase Center
Bowie, MD
5-star overall rating with 5-star inspections with 7 recent health deficiencies
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