Autumn Lake Healthcare at Baltimore Washington

In the surveyor’s words

From the most serious findings on record at Autumn Lake Healthcare at Baltimore Washington, in the surveyor’s own words.

• Actual harm, isolatedF684Jul 23, 2021

  Based on medical record review, an interview with a resident's family member, and interviews with facility staff, it was determined that the facility failed to restart an anticoagulant (medication to prevent blood clots) for a resident with a history of [CONDITION(S)] (DVT). This resident developed a DVT and subsequently required surgical placement of an inferior vena cava (IVC) filter. This was evident for 1 of 15 residents reviewed during the survey (Resident #6). A DVT occurs when a blood clot, thrombus, forms in one or more of the deep veins of the body, usually in the legs. The inferior vena cava is a large vein in the middle of a person's body. An IVC filter is a small device used to stop blood clots from traveling to the lungs. […]

• No harm, potential for more than minimal, widespreadF801Sep 9, 2024

  Based on the surveyor's observation and interview with staff, it was determined that the facility failed to ensure that it had qualified staff with the appropriate competencies and skill sets to carry out food and nutrition services. This has the potential to affect all residents. The findings include: Full-time means working 35 or more hours a week. Part-time employees typically work fewer hours in a day or during a work week than full-time employees. The U.S. Department of Labor, Bureau of Statistics uses a definition of 34 or fewer hours a week as part-time work. On [DATE] at 08:29 AM, interview with food service manager, staff # 51, revealed that he/she has a serve safe certificate, but does not have an active certified dietary manager (CDM) certificate. […]

• No harm, potential for more than minimal, widespreadF925Sep 9, 2024

  Based on observation, interview, and record review it was determined the facility failed to: ensure an effective process was in place to report pest issues, ensure pest issues were effectively and timely managed, and ensure the environment was free from pests. This was evident during the surveyor's review of complaints and during the facility's recertification/complaint survey and has the potential to affect all residents. The findings include: On 8/19/24 at 10:33AM Resident #92 reported to the surveyor that there were lots of flies/gnats in their room and especially in their bathroom. […]

• No harm, potential for more than minimal, patternF584Feb 13, 2026

  Based on observations and interviews it was determined that the facility failed to maintain a safe, clean, comfortable, homelike environment for residents. This finding was found to be evident in 13 (#4, #7, #9, #10, #20, #21, #23, #25, #26, #27, #36, #37 and #107) out of 25 resident rooms and other facility common areas reviewed for physical environment during the recertification survey. The findings include:1.On 02/08/26 at 9:50 AM, the surveyors observed room [ROOM NUMBER]'s trash can overflowing with trash on the floor surrounding it, accumulated dust in the window and blinds, deeply scuffed areas in the floor and a partially detached door panel that was hanging loose. […]

• No harm, potential for more than minimal, patternF656Feb 13, 2026

  Based on interview and record review, it was determined that the facility failed to develop and implement comprehensive care plans for residents. This finding was found to be evident in 4 (Resident # 2, #19, #31 and #136) out of 44 residents reviewed for comprehensive care plans. The findings include: Care Plan is a tailored document summarizing a person's health conditions, care needs, medications, and goals with interventions to ensure consistent care and improve quality of life. […]