Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT PIKESVILLE

7 SUDBROOK LANE, PIKESVILLE, MD 21208 · CCN 215082

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 (61)1 immediate jeopardy

1. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-06-18 · Health · corrected 2025-08-15

   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.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

8. EF0880Provide and implement an infection prevention and control program.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

9. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2025-06-18 · Health · corrected 2025-08-15

   Potential for more than minimal harm

10. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-06-18 · Health · corrected 2025-08-15

    Potential for more than minimal harm

11. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

12. DF0558Reasonably accommodate the needs and preferences of each resident.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

13. FF0570Assure the security of all personal funds of residents deposited with the facility.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

14. FF0578Honor 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.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

15. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

16. FF0584Honor 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.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

17. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

18. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

19. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

20. EF0625Notify 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.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

21. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

22. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

23. EF0641Ensure each resident receives an accurate assessment.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

24. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

25. FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

26. FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

28. EF0688Provide 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.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

29. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-11 · Health · corrected 2022-10-03

    Immediate jeopardy

30. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

31. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

32. 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.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

33. FF0730Observe each nurse aide's job performance and give regular training.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

34. CF0732Post nurse staffing information every day.2022-08-11 · Health · corrected 2022-11-24

    Potential for minimal harm

35. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

36. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

37. DF0760Ensure that residents are free from significant medication errors.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

38. 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.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

39. EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

40. DF0791Provide or obtain dental services for each resident.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

41. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

42. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

43. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

44. 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.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

45. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

46. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

47. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

48. FF0880Provide and implement an infection prevention and control program.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

49. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

50. DF0886Perform COVID19 testing on residents and staff.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

51. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

52. FF0908Keep all essential equipment working safely.2022-08-11 · Health · corrected 2022-11-24

    Potential for more than minimal harm

53. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

54. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

55. FF0922Have enough backup water supply for essential areas of the nursing home.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

56. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

57. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-08-11 · Health · corrected 2022-10-03

    Potential for more than minimal harm

58. DF0558Reasonably accommodate the needs and preferences of each resident.2018-12-21 · Health · corrected 2019-02-17

    Potential for more than minimal harm

59. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2018-12-21 · Health · corrected 2019-02-17

    Potential for more than minimal harm

60. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-12-21 · Health · corrected 2019-02-17

    Potential for more than minimal harm

61. DF0880Provide and implement an infection prevention and control program.2018-12-21 · Health · corrected 2019-02-17

    Potential for more than minimal harm

Ownership

Other facilities in PIKESVILLE

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