Autumn Lake Healthcare Post-Acute Care Center
5009 Frankford Avenue · Baltimore, MD · 21206 · 4103254000
225 certified beds For profit - Limited Liability company 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.
- Inspection results have improved across recent cycles.
The composite number cleared 74 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.08 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.65 | ≈ weekday level |
| Nursing turnover / year | 22% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (45 in the current record)
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Potential for harm · D January 20, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 23, 2025 · Resident Rights
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Potential for harm · D November 24, 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 December 23, 2025 · Resident Rights
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Potential for harm · D November 24, 2025
Provide activities to meet all resident's needs.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 23, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 23, 2025 · Nutrition and Dietary
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Potential for harm · D November 24, 2025
Provide and implement an infection prevention and control program.
Corrected December 23, 2025 · Infection Control
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Potential for harm · D November 24, 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 December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 24, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 24, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 23, 2025 · Pharmacy Service
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Potential for harm · D November 24, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 23, 2025 · Pharmacy Service
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Potential for harm · D November 24, 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 December 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 24, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 23, 2025 · Environmental
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Potential for harm · D October 10, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 21, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 22, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 21, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2023 · Resident Rights
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Potential for harm · D March 21, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected May 22, 2023 · Resident Rights
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Potential for harm · D March 21, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 22, 2023 · Resident Rights
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Potential for harm · D March 21, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 22, 2023 · Resident Rights
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Potential for harm · E March 21, 2023
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 5, 2023 · Resident Rights
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Potential for harm · D March 21, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 21, 2023
Respond appropriately to all alleged violations.
Corrected May 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 22, 2023 · Resident Rights
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 215330 · certified since May 17, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.