Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT ALICE MANOR

2095 ROCKROSE AVENUE, BALTIMORE, MD 21211 · CCN 215215

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

AUTUMN LAKE HEALTHCARE

Facilities in chain

60

Chain avg overall

2.80 / 5

Inspection citations (54)1 actual harm

1. DF0584Honor 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.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

2. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

4. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

5. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

6. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

7. DF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

9. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-01 · Health · corrected 2025-06-06

   Potential for more than minimal harm

10. DF0791Provide or obtain dental services for each resident.2025-05-01 · Health · corrected 2025-06-06

    Potential for more than minimal harm

11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-01 · Health · corrected 2025-06-06

    Potential for more than minimal harm

12. DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-06-06

    Potential for more than minimal harm

13. EF0584Honor 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.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

15. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

16. EF0610Respond appropriately to all alleged violations.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

17. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

18. DF0641Ensure each resident receives an accurate assessment.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

20. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

21. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

22. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

23. DF0742Provide 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.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

24. DF0758Implement 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.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

25. GF0760Ensure that residents are free from significant medication errors.2024-11-20 · Health · corrected 2024-03-15

    Actual harm

26. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-11-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

27. CF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2021-06-14 · Health · corrected 2021-08-13

    Potential for minimal harm

28. EF0584Honor 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.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

29. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

30. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-06-14 · Health · corrected 2021-08-13

    Potential for minimal harm

31. EF0624Prepare residents for a safe transfer or discharge from the nursing home.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

32. CF0625Notify 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.2021-06-14 · Health · corrected 2021-08-13

    Potential for minimal harm

33. EF0641Ensure each resident receives an accurate assessment.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

34. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

36. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

40. DF0688Provide 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.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

41. CF0732Post nurse staffing information every day.2021-06-14 · Health · corrected 2021-08-13

    Potential for minimal harm

42. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

43. DF0758Implement 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.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

44. DF0790Provide routine and 24-hour emergency dental care for each resident.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

45. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

46. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

47. EF0880Provide and implement an infection prevention and control program.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

48. DF0924Put firmly secured handrails on each side of hallways.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

49. DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2021-06-14 · Health · corrected 2021-08-13

    Potential for more than minimal harm

50. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-09-12 · Health · corrected 2018-10-26

    Potential for more than minimal harm

51. DF0583Keep residents' personal and medical records private and confidential.2018-09-12 · Health · corrected 2018-10-26

    Potential for more than minimal harm

52. DF0761Ensure 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.2018-09-12 · Health · corrected 2018-10-26

    Potential for more than minimal harm

53. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-09-12 · Health · corrected 2018-10-26

    Potential for more than minimal harm

54. EF0880Provide and implement an infection prevention and control program.2018-09-12 · Health · corrected 2018-10-26

    Potential for more than minimal harm

Ownership

Other facilities in BALTIMORE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.