Starfile / Maryland

AUTUMN LAKE HEALTHCARE AT SPA CREEK

35 MILKSHAKE LANE, ANNAPOLIS, MD 21403 · CCN 215258

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 (62)1 immediate jeopardy

1. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-06 · Health · corrected 2025-10-04

   Potential for more than minimal harm

2. FF0908Keep all essential equipment working safely.2025-08-06 · Health · corrected 2025-10-04

   Potential for more than minimal harm

3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

4. 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.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

5. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

6. EF0641Ensure each resident receives an accurate assessment.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-04 · Health · corrected 2025-07-10

   Potential for more than minimal harm

10. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-06-04 · Health · corrected 2025-07-10

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-04 · Health · corrected 2025-07-10

    Potential for more than minimal harm

12. EF0880Provide and implement an infection prevention and control program.2025-06-04 · Health · corrected 2025-07-10

    Potential for more than minimal harm

13. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-06-04 · Health · corrected 2025-07-10

    Potential for more than minimal harm

14. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

15. EF0558Reasonably accommodate the needs and preferences of each resident.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

16. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

17. 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.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

19. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

20. DF0610Respond appropriately to all alleged violations.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

21. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

22. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

23. EF0641Ensure each resident receives an accurate assessment.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

26. DF0679Provide activities to meet all resident's needs.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

28. DF0692Provide enough food/fluids to maintain a resident's health.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

29. DF0732Post nurse staffing information every day.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

30. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

31. 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.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

32. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

33. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

34. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

35. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

36. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

37. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

38. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

39. 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.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

40. DF0641Ensure each resident receives an accurate assessment.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

41. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

44. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

45. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

46. EF0692Provide enough food/fluids to maintain a resident's health.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

47. DF0730Observe each nurse aide's job performance and give regular training.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

49. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

50. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

51. DF0759Ensure medication error rates are not 5 percent or greater.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

52. KF0760Ensure that residents are free from significant medication errors.2018-11-05 · Health · corrected 2018-12-29

    Immediate jeopardy

53. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

55. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

56. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2018-11-05 · Health · corrected 2018-12-29

    Potential for more than minimal harm

57. DF0166Try to resolve each resident's complaints quickly.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

58. DF0274Review or revise the resident's care plan after any major change in physical or mental health.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

59. DF0315Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

60. DF0371Store, cook, and serve food in a safe and clean way.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

61. DF0431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

62. DF0514Keep accurate, complete and organized clinical records on each resident that meet professional standards.2017-07-13 · Health · corrected 2017-08-27

    Potential for more than minimal harm

Ownership

Other facilities in ANNAPOLIS

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