Autumn Lake Healthcare at Bridgepark

4017 Liberty Heights Avenue · Baltimore, MD · 21207 · 4105425306

106 certified beds For profit - Corporation Chain: Autumn Lake Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 94
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 57
Context 5% 100

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: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.613.48 min · 4.1 strong
RN hours / resident-day0.940.55–0.75
Weekend hours / resident-day4.25≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (71 in the current record)

  • Potential for harm · E November 13, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 13, 2026 · Quality of Life and Care

  • Potential for harm · E November 13, 2025 · found via complaint

    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 January 13, 2026 · Pharmacy Service

  • Actual harm · G June 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D June 13, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D June 13, 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 August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 13, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected August 18, 2025 · Resident Rights

  • Potential for harm · D June 13, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 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 August 18, 2025 · Resident Rights

  • Potential for harm · D June 13, 2025

    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 August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025

    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 August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 13, 2025

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    Corrected August 18, 2025 · Administration

  • Potential for harm · F June 13, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected August 18, 2025 · Nursing and Physician Services

  • Potential for harm · D June 13, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 13, 2025 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · F June 13, 2025 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected August 18, 2025 · Nursing and Physician Services

  • Potential for harm · D June 13, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 10, 2021

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 16, 2021 · Resident Rights

  • Potential for harm · D November 10, 2021

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected December 16, 2021 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215195 · certified since July 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.