Autumn Lake Healthcare at Crofton
2131 Davidsonville Road · Crofton, MD · 21114 · 4107211000
180 certified beds For profit - Limited Liability company Chain: Autumn Lake Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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
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
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 43% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D September 25, 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 November 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 1, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 1, 2025 · Resident Rights
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Potential for harm · D September 25, 2025
Honor 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.
Corrected November 1, 2025 · Resident Rights
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Potential for harm · D September 25, 2025
Keep residents' personal and medical records private and confidential.
Corrected November 1, 2025 · Resident Rights
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Potential for harm · D September 25, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 25, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 1, 2025 · Resident Rights
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Potential for harm · D September 25, 2025
Ensure each resident receives an accurate assessment.
Corrected November 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2025
Provide activities to meet all resident's needs.
Corrected November 1, 2025 · Quality of Life and Care
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Potential for harm · D September 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 1, 2025 · Quality of Life and Care
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Potential for harm · F September 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 1, 2025 · Nutrition and Dietary
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Potential for harm · F September 25, 2025
Provide and implement an infection prevention and control program.
Corrected November 1, 2025 · Infection Control
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Potential for harm · D September 25, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected November 1, 2025 · Infection Control
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Potential for harm · D September 25, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected November 1, 2025 · Administration
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Potential for harm · D September 25, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected November 1, 2025 · Administration
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Potential for harm · D September 25, 2025
Provide training in compliance and ethics.
Corrected November 1, 2025 · Administration
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Potential for harm · D September 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 1, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 4, 2024 · Resident Rights
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Potential for harm · D February 20, 2024
Assure the security of all personal funds of residents deposited with the facility.
Corrected April 4, 2024 · Resident Rights
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Potential for harm · D February 20, 2024
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 April 4, 2024 · Resident Rights
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Potential for harm · D February 20, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 20, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 4, 2024 · 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 215120 · certified since January 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.