Autumn Lake Healthcare at Arlington West
3939 Penhurst Avenue · Baltimore, MD · 21215 · 4106649535
82 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.28 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (45 in the current record)
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Potential for harm · D June 17, 2025
Honor 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.
Corrected July 29, 2025 · Resident Rights
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Potential for harm · D June 17, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 17, 2025
Ensure that residents are free from significant medication errors.
Corrected July 29, 2025 · Pharmacy Service
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Potential for harm · D June 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 6, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · D May 6, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · D May 6, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 5, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2022
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Corrected July 5, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 6, 2022
Respond appropriately to all alleged violations.
Corrected July 5, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 6, 2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · D May 6, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · D May 6, 2022
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · D May 6, 2022
Notify 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.
Corrected July 5, 2022 · Resident Rights
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Potential for harm · E May 6, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 5, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 6, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 5, 2022 · Resident Assessment and Care Planning
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Potential for harm · D May 6, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · D May 6, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · E May 6, 2022
Provide 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.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · D May 6, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · E May 6, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · E May 6, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 5, 2022 · Pharmacy Service
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Potential for harm · D May 6, 2022
Ensure 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.
Corrected July 5, 2022 · Pharmacy Service
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Potential for harm · D May 6, 2022
Provide or obtain dental services for each resident.
Corrected July 5, 2022 · Quality of Life and Care
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Potential for harm · F May 6, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 5, 2022 · Nutrition and Dietary
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Potential for harm · E May 6, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 5, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215349 · certified since April 4, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.