Federal inspection record · CMS data as of October 1, 2026
Autumn Lake Healthcare At Spa Creek
35 Milkshake Lane, Annapolis, MD · (410) 269-5100
- Certified beds
- 130
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Autumn Lake Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 6, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Autumn Lake Healthcare At Spa Creek carries 114 inspection points. That is fewer than 36% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
73 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Resident Assessment and Care Planning16E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Ensure each resident receives an accurate assessment.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights13E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to manage his or her financial affairs.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Quality of Life and Care13E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- C
Ensure the activities program is directed by a qualified professional.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service10E
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control4E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental3F
- F
Keep all essential equipment working safely.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration2D
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Nursing and Physician Services2D
- D
Post nurse staffing information every day.
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2025-08-06
18 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2023-02-03
34 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2018-11-05
21 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 29 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 44% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts better | 0.7 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.6 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 99.3% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 100.0% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.7 pts better | 13.1% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.9 pts better | 1.5% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 10.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.9 pts better | 3.2% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.6 pts worse | 28.5% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts worse | 24.7% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse | 29.5% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 4.7% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.1 pts better | 99.8% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.8 pts better | 3.6% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.2 pts better | 94.5% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.3 pts better | 18.9% | 20.2% | 23.4% |
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Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 35 Milkshake Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Accurate Staffing LLC | Adp Of The SNF · Organization | 0% | 42 facilities |
| Brand Sonnenschine Llp | Adp Of The SNF · Organization | 0% | 63 facilities |
| Eidlisz, Solomon | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 12 facilities |
| Gluck, Rivka | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 15 facilities |
| Mcinerney, Ellen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcinerney, Ellen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Neel, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neel, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schwartz, Mark | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Stern, Aryeh | Indirect Ownership Interest · Individual | 0% | 41 facilities |
·
Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Egress7E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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.
- D
Install proper backup exit lighting.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Construction1D
- D
Meet other general requirements.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
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- E
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-
Ginger Cove
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South River Rehabilitation and Wellness Center
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