Baltimore, MD

Autumn Lake Healthcare At Homewood

1-star overall rating with 2-star inspections with abuse icon flag with 32 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

6000 Bellona Avenue, Baltimore, MD

(410) 323-4223

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Autumn Lake Healthcare

Operator or chain grouping

Approved since

1970-02-17

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

0.43

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.56

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.25

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.49

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

0.40

CMS adjusted RN staffing hours

Adjusted total hours

3.30

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,730

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

Performance score

19.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.14

Baseline 20.05% · Performance 19.51% · Measure score 4.14 · Achievement 4.14 · Improvement 1.27

Healthcare-associated infections

0

Baseline 7.88% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.53

Baseline 59.04% · Performance 53.33% · Measure score 2.53 · Achievement 2.53 · Improvement 1.17

Adjusted total nurse staffing

1.06

Baseline 3.34 hours · Performance 3.38 hours · Measure score 1.06 · Achievement 1.06 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.81%
10.72%
1.1 pts worse
No Different than the National Rate · Eligible stays 104 · Observed rate 15.38% · Lower 95% interval 8.92%
Discharge to community 48.61%
50.57%
2 pts worse
No Different than the National Rate · Eligible stays 94 · Observed rate 37.23% · Lower 95% interval 39.61%
Medicare spending per beneficiary 1.48
1.02
0.5 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 61 · Denominator 61
Falls with major injury 1.64%
0.77%
0.9 pts worse
Numerator 1 · Denominator 61
Discharge self-care score 52.78%
53.69%
0.9 pts worse
Numerator 19 · Denominator 36
Discharge mobility score 38.89%
50.94%
12 pts worse
Numerator 14 · Denominator 36
Pressure ulcers or injuries, new or worsened 3.28%
2.29%
1 pts worse
Numerator 2 · Denominator 61 · Adjusted rate 2.15%
Healthcare-associated infections requiring hospitalization 7.98%
7.12%
0.9 pts worse
No Different than the National Rate · Eligible stays 54 · Observed rate 11.11% · Lower 95% interval 4.6%
Staff COVID-19 vaccination coverage 18.48%
8.2%
10.3 pts better
Numerator 17 · Denominator 92
Staff flu vaccination coverage 34%
42%
8 pts worse
Numerator 51 · Denominator 150
Discharge function score 55.56%
56.45%
0.9 pts worse
Numerator 20 · Denominator 36
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date 19.35%
25.2%
5.8 pts worse
Numerator 6 · Denominator 31

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.7%
91.9%
0.2 pts worse
93.4%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 89.8% · Q3 91.7% · Q4 89.3% · 4Q avg 91.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
96.6%
0.3 pts better
95.5%
1.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of long-stay residents experiencing one or more falls with major injury 1.1%
2.3%
1.2 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 1.2% · Q4 1.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 23.7%
21.4%
2.3 pts worse
11.4%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 31.2% · Q3 29.0% · Q4 35.1% · 4Q avg 23.7%
Percentage of long-stay residents who lose too much weight 8.2%
5.7%
2.5 pts worse
5.4%
2.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 8.3% · Q3 8.9% · Q4 7.7% · 4Q avg 8.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.5%
16.1%
7.6 pts better
19.6%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 11.8% · Q3 7.6% · Q4 7.7% · 4Q avg 8.5%
Percentage of long-stay residents who received an antipsychotic medication 11.4%
15.3%
3.9 pts better
16.7%
5.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 8.5% · Q3 11.5% · Q4 19.0% · 4Q avg 11.4% · 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 13.8%
26.6%
12.8 pts better
16.3%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.3%
22.9%
6.6 pts better
14.9%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 27.4% · Q3 9.9% · Q4 14.5% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.7%
0.2 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.7%
1.5%
0.2 pts worse
1.7%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.4% · Q3 2.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.7%
25.4%
5.3 pts worse
19.8%
10.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 38.5% · Q3 34.1% · Q4 26.1% · 4Q avg 30.7%
Percentage of long-stay residents with pressure ulcers 4.7%
6.3%
1.6 pts better
5.1%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.5% · Q3 5.1% · Q4 5.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 56.2%
78.4%
22.2 pts worse
81.7%
25.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 57.3% · Q2 54.4% · Q3 57.3% · Q4 55.8% · 4Q avg 56.2%
Percentage of short-stay residents who had an outpatient emergency department visit 6.2%
9.9%
3.7 pts better
12.0%
5.8 pts better
Short Stay · 20240701-20250630 · Adjusted 6.2% · Observed 7.5% · Expected 13.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.3%
0.7 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 65.0%
80.6%
15.6 pts worse
79.7%
14.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.7%
21.2%
2.5 pts worse
23.9%
0.2 pts better
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 34.0% · Expected 34.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

32 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2022-09-21 · Fire 2022-09-21

21 health deficiencies

Top issue: Resident Rights (8 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (8 deficiencies)

Cycle 3 Health 2018-12-11 · Fire 2018-12-11

21 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-24

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

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 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-07-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-07-24

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-09-12

F · Potential for more than minimal harm 2022-09-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-12

F · Potential for more than minimal harm 2022-09-21

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-12

F · Potential for more than minimal harm 2022-09-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-12

F · Potential for more than minimal harm 2022-09-21

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-12-12

F · Potential for more than minimal harm 2022-09-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-09-22

E · Potential for more than minimal harm 2022-09-21

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 2022-12-12

E · Potential for more than minimal harm 2022-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-12

E · Potential for more than minimal harm 2022-09-21

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-09-22

E · Potential for more than minimal harm 2022-09-21

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-22

E · Potential for more than minimal harm 2022-09-21

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-09-22

E · Potential for more than minimal harm 2022-09-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-26

D · Potential for more than minimal harm 2022-09-21

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-09-22

D · Potential for more than minimal harm 2022-09-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-09-22

D · Potential for more than minimal harm 2022-09-21

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-12

D · Potential for more than minimal harm 2022-09-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-22

D · Potential for more than minimal harm 2022-09-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-22

F · Potential for more than minimal harm 2018-12-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-02-22

F · Potential for more than minimal harm 2018-12-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-02-20

F · Potential for more than minimal harm 2018-12-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-02-20

D · Potential for more than minimal harm 2018-12-11

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-02-20

D · Potential for more than minimal harm 2018-12-11

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-02-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-02-19

D · Potential for more than minimal harm 2026-01-13

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2026-02-19

F · Potential for more than minimal harm 2025-07-24

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2025-07-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2025-07-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2025-07-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2025-07-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-15

E · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-07-24

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 2025-09-15

E · Potential for more than minimal harm 2022-09-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-10-29

E · Potential for more than minimal harm 2022-09-21

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

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 2022-10-29

E · Potential for more than minimal harm 2022-09-21

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

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 2022-10-29

D · Potential for more than minimal harm 2022-09-21

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 2022-10-29

D · Potential for more than minimal harm 2022-09-21

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 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

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 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-29

D · Potential for more than minimal harm 2022-09-21

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 2022-10-29

D · Potential for more than minimal harm 2022-09-21

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-29

C · Minimal harm 2022-09-21

F577 · Resident Rights Deficiencies

Health

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

Corrected 2022-10-29

E · Potential for more than minimal harm 2018-12-11

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 2019-01-21

E · Potential for more than minimal harm 2018-12-11

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2019-01-21

E · Potential for more than minimal harm 2018-12-11

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2019-01-21

E · Potential for more than minimal harm 2018-12-11

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2019-01-21

E · Potential for more than minimal harm 2018-12-11

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F577 · Resident Rights Deficiencies

Health

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

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

D · Potential for more than minimal harm 2018-12-11

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-01-21

D · Potential for more than minimal harm 2018-12-11

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 2019-01-21

Penalties and ownership

What sits behind the stars

Ownership

56 West Frederick Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2021-05-01
A&R Stern Family Md1 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

74% 11 facilities 2021-05-01
Hatzlacha Rabbah LLC

5% Or Greater Indirect Ownership Interest · Organization

25% 10 facilities 2021-05-01
Rizqui, Ibrahim

Operational/Managerial Control · Individual

0% 7 facilities 2021-06-13
Schwartz, Mark

Operational/Managerial Control · Individual

0% 55 facilities 2021-05-01
Schwartz, Mark

Corporate Officer · Individual

0% 55 facilities 2021-05-01
Sowa, Ronilyn

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-15

Nearby options

Other facilities in reach

#1

Autumn Lake Healthcare At Long Green

Baltimore, MD

2-star overall rating with 2-star inspections with 23 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

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

Holly Hill Healthcare Center

Towson, MD

2-star overall rating with 1-star inspections with abuse icon flag with 33 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$0
#3

Complete Care At Multi Medical Center LLC

Towson, MD

5-star overall rating with 4-star inspections with 11 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0

Jump out

Supporting pages