Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT LOCH RAVEN

8720 EMGE ROAD, BALTIMORE, MD 21234 · CCN 215090

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 (86)

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

2. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

3. 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.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

4. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

6. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

8. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-11 · Health · corrected 2025-10-24

   Potential for more than minimal harm

10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

12. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

13. DF0730Observe each nurse aide's job performance and give regular training.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

14. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

15. 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.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

16. 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.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

17. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

18. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

19. FF0880Provide and implement an infection prevention and control program.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

20. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

21. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

22. DF0946Provide training in compliance and ethics.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

23. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

24. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-09-11 · Health · corrected 2025-10-24

    Potential for more than minimal harm

25. 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.2023-09-06 · Health · corrected 2023-10-17

    Potential for more than minimal harm

26. EF0880Provide and implement an infection prevention and control program.2023-09-06 · Health · corrected 2023-10-17

    Potential for more than minimal harm

27. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

28. DF0610Respond appropriately to all alleged violations.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

29. DF0641Ensure each resident receives an accurate assessment.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

31. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

33. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

34. DF0685Assist a resident in gaining access to vision and hearing services.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

37. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

38. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

40. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

41. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-13 · Health · corrected 2023-07-14

    Potential for more than minimal harm

43. BF0881Implement a program that monitors antibiotic use.2023-06-13 · Health · corrected 2023-07-14

    Potential for minimal harm

44. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

45. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

46. DF0558Reasonably accommodate the needs and preferences of each resident.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

47. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-01-10 · Health · corrected 2019-03-01

    Potential for minimal harm

48. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

49. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

50. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-01-10 · Health · corrected 2019-03-01

    Potential for minimal harm

51. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

52. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for minimal harm

53. DF0637Assess the resident when there is a significant change in condition2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

54. EF0641Ensure each resident receives an accurate assessment.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

55. FF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

56. FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

57. FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

58. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

59. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

60. DF0679Provide activities to meet all resident's needs.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

61. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

62. DF0685Assist a resident in gaining access to vision and hearing services.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

63. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

64. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

65. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

66. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

67. EF0695Provide safe and appropriate respiratory care for a resident when needed.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

68. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

69. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

70. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

71. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

72. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

73. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

74. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

75. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

76. DF0759Ensure medication error rates are not 5 percent or greater.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

77. EF0760Ensure that residents are free from significant medication errors.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

78. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

79. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

80. 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

81. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

82. FF0838Conduct 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.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

83. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

84. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

85. EF0880Provide and implement an infection prevention and control program.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

86. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2019-01-10 · Health · corrected 2019-03-01

    Potential for more than minimal harm

Ownership

Other facilities in BALTIMORE

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