Starfile

Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT BRADDOCK HEIGHTS

6012 JEFFERSON BOULEVARD, FREDERICK, MD 21703 · CCN 215199

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Individual
Certified beds
65
Avg residents/day
56.5
Phone
3013717160

Inspection history vs Maryland & national averages

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

CycleInspection dateThis facilityMaryland avgNational avgvs state
12024-08-16818.99.5-10.9 better
22019-06-271817.19.8+0.9 worse
32018-02-273114.59.3+16.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Nursing and physician services1
Resident rights2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3055.1%
RN staffing (reported)0.9046.2%
Total nurse staffing (adjusted)3.19

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 (57)

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2026-01-23 · Health

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-23 · Health

    Potential for more than minimal harm

  3. DF0610Respond appropriately to all alleged violations.2026-01-23 · Health

    Potential for more than minimal harm

  4. 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.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  5. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  6. 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.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  7. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  8. 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.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  9. EF0880Provide and implement an infection prevention and control program.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  10. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-08-16 · Health · corrected 2024-10-04

    Potential for more than minimal harm

  11. DF0558Reasonably accommodate the needs and preferences of each resident.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  12. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  13. 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.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  15. DF0583Keep residents' personal and medical records private and confidential.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  16. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  17. DF0610Respond appropriately to all alleged violations.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  18. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-06-27 · Health · corrected 2019-08-07

    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.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  20. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  23. DF0759Ensure medication error rates are not 5 percent or greater.2019-06-27 · Health · corrected 2019-08-07

    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.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  25. DF0880Provide and implement an infection prevention and control program.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  26. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-06-27 · Health · corrected 2019-08-07

    Potential for more than minimal harm

  27. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  28. 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.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  29. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  30. FF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  31. 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.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  32. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  33. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  34. EF0641Ensure each resident receives an accurate assessment.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  35. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-02-27 · Health · corrected 2018-04-09

    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.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  37. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  40. EF0692Provide enough food/fluids to maintain a resident's health.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  41. DF0697Provide safe, appropriate pain management for a resident who requires such services.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  42. EF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  43. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  44. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  45. 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.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  46. EF0759Ensure medication error rates are not 5 percent or greater.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  47. DF0760Ensure that residents are free from significant medication errors.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  48. 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.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  49. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  50. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  51. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  52. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  53. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  54. EF0880Provide and implement an infection prevention and control program.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  55. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  56. FF0908Keep all essential equipment working safely.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

  57. FF0922Have enough backup water supply for essential areas of the nursing home.2018-02-27 · Health · corrected 2018-04-09

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
6012 JEFFERSON BOULEVARD HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2023-01-01
AS FAMILY VB HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2023-01-01
M MEISELS FAMILY HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2023-01-01
MCLAURIN, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-01-01
SCHWARTZ, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL2023-01-01
WAH, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-01
SCHWARTZ, MARKIndividualCORPORATE OFFICER2023-01-01

Other facilities in FREDERICK

NameOverallBeds
HOMEWOOD LIVING FREDERICK★★★★★120
CITIZENS CARE AND REHABILITATION CENTER OF FREDERI★★★★☆170
FREDERICK CROSSING OF JOURNEY★★★☆☆120
AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK★★☆☆☆130
NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE★☆☆☆☆196

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