10 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Pikesville, MD
1-star overall rating with 1-star inspections with 10 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
7 Sudbrook Lane, Pikesville, MD
(410) 486-8771
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
114
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Autumn Lake Healthcare
Operator or chain grouping
Approved since
1976-06-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.55
Registered nurse staffing
LPN hours / resident day
1.05
Licensed practical nurse staffing
Aide hours / resident day
2.08
Nurse aide staffing
Weekend hours
3.18
Weekend nurse staffing
RN turnover
31%
Annual RN turnover
Total nurse turnover
38%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
91.9%
5.8 pts better
|
93.4%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
2.3%
1.5 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 15.2% |
21.4%
6.2 pts better
|
11.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.4% |
5.7%
0.7 pts worse
|
5.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% |
16.1%
5.7 pts better
|
19.6%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.1% |
15.3%
10.2 pts better
|
16.7%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 28.1% |
26.6%
1.5 pts worse
|
16.3%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.4% |
22.9%
6.5 pts better
|
14.9%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.5%
1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
25.4%
4.1 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
6.3%
3.4 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
78.4%
12.9 pts better
|
81.7%
9.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.1% |
9.9%
8.2 pts worse
|
12.0%
6.1 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
1.3%
1.6 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
80.6%
12.6 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.7% |
21.2%
7.5 pts worse
|
23.9%
4.8 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Assessment and Care Planning (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (9 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Infection Control (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-29
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 2025-08-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-29
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-29
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-08-29
Fire Safety
Meet other general requirements.
Corrected 2025-08-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-29
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-29
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-08-31
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-08-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-31
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-08-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-08-31
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-08-31
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-08-31
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-08-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-31
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-08-31
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-08-31
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2022-08-31
Fire Safety
Meet other general requirements.
Corrected 2019-03-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-03-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-03-13
Fire Safety
Meet fire sprinkler requirement for tall buildings.
Corrected 2019-03-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-03-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-03-13
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 2019-03-13
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 2019-03-13
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2019-03-13
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-15
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-08-15
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-15
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 2025-08-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-15
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 2025-08-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-15
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-08-15
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-08-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-03
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-10-03
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 2022-10-03
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 2022-11-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-24
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 2022-10-03
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2022-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-03
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-10-03
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 2022-10-03
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2022-10-03
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-03
Health
Keep all essential equipment working safely.
Corrected 2022-11-24
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-10-03
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2022-10-03
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 2022-10-03
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-10-03
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-10-03
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 2022-10-03
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-10-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-10-03
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-10-03
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-10-03
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2022-10-03
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-10-03
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-11-24
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 2022-11-24
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-10-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-11-24
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2022-10-03
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-03
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-10-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-10-03
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2022-11-24
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-03
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 2022-10-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-10-03
Health
Provide or obtain dental services for each resident.
Corrected 2022-10-03
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2022-10-03
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-03
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-10-03
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 2022-10-03
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-10-03
Health
Post nurse staffing information every day.
Corrected 2022-11-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-02-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-02-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-02-17
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-17
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Baltimore, MD
3-star overall rating with 3-star inspections with 22 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Baltimore, MD
1-star overall rating with 1-star inspections with abuse icon flag with $20,251 in total fines with 16 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Baltimore, MD
2-star overall rating with 2-star inspections with $23,896 in total fines with 25 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
Jump out