Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK

347 BALLENGER DRIVE, FREDERICK, MD 21701 · CCN 215001

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 (63)1 immediate jeopardy1 actual harm

1. 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.2025-11-20 · Health · corrected 2026-01-16

   Potential for more than minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-20 · Health · corrected 2026-01-16

   Potential for more than minimal harm

3. DF0610Respond appropriately to all alleged violations.2025-11-20 · Health · corrected 2026-01-16

   Potential for more than minimal harm

4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health · corrected 2026-01-16

   Potential for more than minimal harm

5. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-06-30 · Health · corrected 2025-08-01

   Potential for more than minimal harm

6. DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-30 · Health · corrected 2025-08-01

   Potential for more than minimal harm

7. 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.2025-06-30 · Health · corrected 2025-08-01

   Potential for more than minimal harm

8. 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.2025-06-30 · Health · corrected 2025-08-01

   Potential for more than minimal harm

9. 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.2025-06-30 · Health · corrected 2025-08-01

   Potential for more than minimal harm

10. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

11. EF0610Respond appropriately to all alleged violations.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

12. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

13. EF0637Assess the resident when there is a significant change in condition2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

14. EF0641Ensure each resident receives an accurate assessment.2025-06-30 · Health · corrected 2025-08-01

    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.2025-06-30 · Health · corrected 2025-08-01

    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.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

17. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

18. EF0679Provide activities to meet all resident's needs.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

19. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

20. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

21. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

22. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

23. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

24. EF0760Ensure that residents are free from significant medication errors.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

26. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

27. EF0880Provide and implement an infection prevention and control program.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

28. FF0887Educate 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.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

29. DF0908Keep all essential equipment working safely.2025-06-30 · Health · corrected 2025-08-01

    Potential for more than minimal harm

30. BF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2022-11-15 · Health · corrected 2023-01-16

    Potential for minimal harm

31. 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.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

32. 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.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

33. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

34. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

35. DF0610Respond appropriately to all alleged violations.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

36. DF0641Ensure each resident receives an accurate assessment.2022-11-15 · Health · corrected 2023-02-16

    Potential for more than minimal harm

37. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

38. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-15 · Health · corrected 2023-02-16

    Potential for more than minimal harm

39. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

40. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

41. EF0679Provide activities to meet all resident's needs.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

42. DF0680Ensure the activities program is directed by a qualified professional.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

43. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

44. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-15 · Health · corrected 2023-01-16

    Actual harm

45. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

46. FF0730Observe each nurse aide's job performance and give regular training.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

47. CF0732Post nurse staffing information every day.2022-11-15 · Health · corrected 2023-01-16

    Potential for minimal harm

48. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

49. 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.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

50. JF0760Ensure that residents are free from significant medication errors.2022-11-15 · Health · corrected 2022-06-15

    Immediate jeopardy

51. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

52. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

53. DF0880Provide and implement an infection prevention and control program.2022-11-15 · Health · corrected 2023-01-16

    Potential for more than minimal harm

54. DF0641Ensure each resident receives an accurate assessment.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

58. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

59. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

60. 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.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

62. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

63. DF0880Provide and implement an infection prevention and control program.2018-11-19 · Health · corrected 2019-01-02

    Potential for more than minimal harm

Ownership

Other facilities in FREDERICK

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