AUTUMN LAKE HEALTHCARE AT BIRCH MANOR
7309 SECOND AVENUE, SYKESVILLE, MD 21784 · CCN 215136
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 118
- Avg residents/day
- 108.1
- Phone
- 4107951100
Inspection history vs Maryland & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-11 | 23 | 18.9 | 9.5 | +4.1 worse |
| 2 | 2021-06-09 | 24 | 17.1 | 9.8 | +6.9 worse |
| 3 | 2018-08-03 | 38 | 14.5 | 9.3 | +23.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 4 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Environmental | 2 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.39 | 35.0% |
| RN staffing (reported) | 0.44 | 33.3% |
| Total nurse staffing (adjusted) | 3.43 | — |
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 (85)
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-11-20 · Health · corrected 2026-01-05
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- 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.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- 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.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- DF0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.2025-06-11 · Health · corrected 2025-07-15
Potential for more than minimal harm
- 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.2024-11-04 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-04 · Health · corrected 2024-12-06
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- 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.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- 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.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- 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.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- 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.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0838Conduct 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.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2021-06-09 · Health · corrected 2021-08-06
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- 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.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- 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.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- 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.2018-08-03 · Health · corrected 2018-10-08
Potential for minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0642Ensure a qualified health professional conducts resident assessments.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- FF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- 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.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2018-08-03 · Health · corrected 2018-10-08
Potential for minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0758Implement 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.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0761Ensure 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.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- CF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2018-08-03 · Health · corrected 2018-10-08
Potential for minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- EF0881Implement a program that monitors antibiotic use.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2018-08-03 · Health · corrected 2018-10-08
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| 7309 SECOND AVENUE HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-08-01 |
| AS FAMILY MD4 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57% | 2022-08-01 |
| M MEISELS FAMILY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2022-08-01 |
| DAVE, MITUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| KENDELL, ZINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| SCHWARTZ, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-01 |
| SCHWARTZ, MARK | Individual | CORPORATE OFFICER | — | 2022-08-01 |
| 7309 SECOND AVENUE PROPCO LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2022-08-01 |
Other facilities in SYKESVILLE
| Name | Overall | Beds |
|---|---|---|
| WILLOWBROOKE COURT SKILLED CARE CENTER FAIRHAVEN | ★★★★☆ | 79 |
| COPPER RIDGE NURSING AND ASSISTED LIVING CENTER | ★☆☆☆☆ | 66 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.