Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT ARLINGTON WEST

3939 PENHURST AVENUE, BALTIMORE, MD 21215 · CCN 215349

Abuse icon

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 (45)

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.2025-06-17 · Health · corrected 2025-07-29

   Potential for more than minimal harm

2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-17 · Health · corrected 2025-07-29

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-17 · Health · corrected 2025-07-29

   Potential for more than minimal harm

4. DF0760Ensure that residents are free from significant medication errors.2025-06-17 · Health · corrected 2025-07-29

   Potential for more than minimal harm

5. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-05-06 · Health · corrected 2022-07-05

   Potential for more than minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-05-06 · Health · corrected 2022-07-05

   Potential for more than minimal harm

7. CF0585Honor 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.2022-05-06 · Health · corrected 2022-07-05

   Potential for minimal harm

8. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-05-06 · Health · corrected 2022-07-05

   Potential for more than minimal harm

9. DF0608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.2022-05-06 · Health · corrected 2022-07-05

   Potential for more than minimal harm

10. EF0610Respond appropriately to all alleged violations.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

11. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

12. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

13. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

14. DF0625Notify 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.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

15. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

19. EF0688Provide 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.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

20. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

21. EF0692Provide enough food/fluids to maintain a resident's health.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

22. CF0732Post nurse staffing information every day.2022-05-06 · Health · corrected 2022-07-05

    Potential for minimal harm

23. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

24. 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.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

25. DF0791Provide or obtain dental services for each resident.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

26. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

27. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

29. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

30. CF0885Report COVID19 data to residents and families.2022-05-06 · Health · corrected 2022-07-05

    Potential for minimal harm

31. EF0886Perform COVID19 testing on residents and staff.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

32. EF0887Educate 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.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

33. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-05-06 · Health · corrected 2022-07-05

    Potential for more than minimal harm

34. DF0558Reasonably accommodate the needs and preferences of each resident.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

35. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

36. DF0578Honor 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.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

37. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

39. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

40. DF0625Notify 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.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

41. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-11-01 · Health · corrected 2018-12-08

    Potential for more than minimal harm

45. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2018-11-01 · Health · corrected 2018-12-08

    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.