AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS
525 GLENBURN AVENUE, CAMBRIDGE, MD 21613 · CCN 215221
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 98
- Avg residents/day
- 94.9
- Phone
- 4102211400
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 | 2024-03-05 | 12 | 18.9 | 9.5 | -6.9 better |
| 2 | 2019-03-29 | 21 | 17.1 | 9.8 | +3.9 worse |
| 3 | 2017-11-03 | 8 | 14.5 | 9.3 | -6.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.06 | 42.7% |
| RN staffing (reported) | 0.71 | 44.4% |
| Total nurse staffing (adjusted) | 4.07 | — |
Fines & penalties
- Total fines
- $50,879
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- AUTUMN LAKE HEALTHCARE
- Facilities in chain
- 60
- Chain avg overall
- 2.80 / 5
Inspection citations (41)
- DF0610Respond appropriately to all alleged violations.2025-12-19 · Health
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- 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.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
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.2024-03-05 · Health · corrected 2024-04-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-05 · Health · corrected 2024-04-30
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.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2019-03-29 · Health · corrected 2019-05-29
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.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-03-29 · Health · corrected 2019-05-29
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.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-03-29 · Health · corrected 2019-05-29
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.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2019-03-29 · Health · corrected 2019-05-29
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.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2019-03-29 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0278Ensure each resident receives an accurate assessment by a qualified health professional.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0282Provide care by qualified persons according to each resident's written plan of care.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0309Provide necessary care and services to maintain or improve the highest well being of each resident .2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0329Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0371Store, cook, and serve food in a safe and clean way.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0441Have a program that investigates, controls and keeps infection from spreading.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0456Keep all essential equipment working safely.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
- DF0514Keep accurate, complete and organized clinical records on each resident that meet professional standards.2017-11-03 · Health · corrected 2017-12-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| 525 GLENBURN HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 |
| A&R STERN FAMILY MD1 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 74% | 2021-05-01 |
| HATZLACHA RABBAH LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2021-05-01 |
| BORODULIA, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| KRAMER, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-18 |
| SCHWARTZ, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| SCHWARTZ, MARK | Individual | CORPORATE OFFICER | — | 2021-05-01 |
Other facilities in CAMBRIDGE
| Name | Overall | Beds |
|---|---|---|
| MALLARD BAY NURSING AND REHAB | ★☆☆☆☆ | 160 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.