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.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-08-16 | 8 | 18.9 | 9.5 | -10.9 better |
| 2 | 2019-06-27 | 18 | 17.1 | 9.8 | +0.9 worse |
| 3 | 2018-02-27 | 31 | 14.5 | 9.3 | +16.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.30 | 55.1% |
| RN staffing (reported) | 0.90 | 46.2% |
| 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)
- DF0558Reasonably accommodate the needs and preferences of each resident.2026-01-23 · Health
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2026-01-23 · Health
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.2024-08-16 · Health · corrected 2024-10-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-08-16 · Health · corrected 2024-10-04
Potential for more than minimal harm
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-06-27 · Health · corrected 2019-08-07
Potential for more than minimal harm
- 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
- 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
- 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
- DF0583Keep residents' personal and medical records private and confidential.2019-06-27 · Health · corrected 2019-08-07
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2019-06-27 · Health · corrected 2019-08-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2019-06-27 · Health · corrected 2019-08-07
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.2019-06-27 · Health · corrected 2019-08-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2019-06-27 · Health · corrected 2019-08-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0641Ensure each resident receives an accurate assessment.2018-02-27 · Health · corrected 2018-04-09
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.2018-02-27 · Health · corrected 2018-04-09
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.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- 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
- 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
- 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
- EF0692Provide enough food/fluids to maintain a resident's health.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2018-02-27 · Health · corrected 2018-04-09
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.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- 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
- FF0908Keep all essential equipment working safely.2018-02-27 · Health · corrected 2018-04-09
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| 6012 JEFFERSON BOULEVARD HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| AS FAMILY VB HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| M MEISELS FAMILY HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| MCLAURIN, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 |
| SCHWARTZ, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 |
| WAH, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| SCHWARTZ, MARK | Individual | CORPORATE OFFICER | — | 2023-01-01 |
Other facilities in FREDERICK
| Name | Overall | Beds |
|---|---|---|
| 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.