Autumn Lake Healthcare at Bridgepark
Baltimore, Maryland · CCN 215195
33 surveys since 2010, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 298
- Surveys
- 33
- Harm or worse
- 4
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 106
- Ownership
- For profit - Corporation
- Chain
- AUTUMN LAKE HEALTHCARE
- County
- Baltimore City
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 43 for-profit facilities of 100–127 beds in Maryland.
Last survey on record
Nov 13, 2025
361 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.68 | 3.55 |
| Registered-nurse hours per resident day | 1.02 | — |
| Annual nurse turnover | 40.4% | 43.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.4% | H— | I— |
| No harm, potential for more than minimal | D5678.9% | E1014.1% | F22.8% |
| No harm, potential for minimal | A— | B11.4% | C11.4% |
Most frequently cited here
In CMS’s current monthly file.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6883×
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.
- F7613×
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.
- F8423×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Autumn Lake Healthcare at Bridgepark, in the surveyor’s own words.
- Actual harm, isolatedF689Jun 13, 2025
Based on record reviews, and interviews, it was determined that facility staff failed to 1.) provide adequate supervision of a resident identified with inappropriate sexual behavior towards residents and staff resulting in actual harm to Resident #11, and 2.) ensure two-person assistance was provided while providing care to a resident in bed, as required by the resident's care plan. This deficient practice was evident for 2 of 5 residents (#11 and #98) reviewed for accidents during the annual survey.The findings include: 1) On 6/4/25, the surveyor reviewed facility incident reports and medical records for Residents #27 and #11. Resident #27 was admitted to the facility on [DATE] with diagnoses including schizophrenia and cognitive impairment. […]
- No harm, potential for more than minimal, widespreadF726Jun 13, 2025
Based on record review and interviews, it was determined that the facility failed to ensure nursing staff were competent with their skills set. This was evident for 3 (Staff #14, Staff #29, and Staff # 30) of 5 nursing staff evaluated for competency and has the potential to affect all residents. The findings include: 1a) Nursing competence is defined by the American Nurses Association as an expected level of performance that integrates knowledge, skills, abilities, and judgment. On 06/09/25 at 08:08 AM, as part of the sufficient and competent nurse staffing task, the surveyor asked the Director of Nursing (DON) to provide employee files of 5 randomly selected nursing staff. […]
- No harm, potential for more than minimal, widespreadF947Jun 13, 2025
Based on record review and interviews, it was determined that the facility failed to provide 12 hours of in-service training to nurse aides yearly. This finding was evident for 2 Geriatric Nursing Assistants (GNA #15 and GNA #16) of 2 nurse aide employee files reviewed during the recertification survey. The findings include: On 06/09/25 at 08:08 AM, as part of the sufficient and competent nurse staffing task, the surveyor reviewed two Geriatric Nursing Assistants (GNA) employee files (GNA #15 and GNA #16). The review of these records failed to show that the two GNAs had 12 hours of in-service education for the year 2024. On 06/09/25 at 09:50 AM, the facility administrator was asked to provide any documentation that indicated that GNA #15 and GNA #16 received in-service education. […]
- No harm, potential for more than minimal, patternF684Nov 13, 2025
Based on complaint, reviews of a medical record, and staff interview, it was determined that the nursing staff failed to: 1) follow a physicians orders for withholding a cardiovascular medication when the pulse rate was less than 100 and document the resident's pulse rate when administering the cardiovascular medication, and 2) correctly document the route the cardiovascular medication should be administered. This was evident for 1 of 2 residents (Resident #1) reviewed during the complaint survey.The findings include:Review of Complaint 2662089 on 11/13/25 at 6:30 AM revealed a an allegation Resident #1 was not receiving quality of care at the facility.Resident #1 was admitted to the facility on [DATE] with diagnoses that include but not limited to being totally ventilator dependent,… […]
- No harm, potential for more than minimal, patternF761Nov 13, 2025
Based on observation during the initial tour of the facility on 11/13/2025 at 5:35 AM, it was determined that the facility nursing staff failed to maintain the medication carts locked and secure. This was evident for 3 of 4 nursing units observed during a complaint survey.The findings include:During the initial tour of the facility on 11/13/2025 at 5:35 AM, the second-floor nursing unit was observed with one medication cart unlocked. Observations also include a medicine cup, located on top of the unlocked medication cart, with 2 cherry-colored oval tablets in the cup. […]
Read 23 findings in full →The most serious and the most recent: 23 of 298 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 13, 2025Complaint2 findings
- Jun 13, 2025Standard and complaint21 findings · 1 harm
- Nov 10, 2021Standard and complaint31 findings
- Mar 1, 2021Complaint2 findings
- Aug 10, 2020Infection control2 findings
- Jan 3, 2020Complaint2 findings
- Aug 2, 2019Complaint3 findings
- May 1, 2019Complaint1 finding
Show the 25 earlier surveys
- Nov 29, 2018Standard18 findings
- Jul 5, 2018Complaint9 findings
- Feb 12, 2018Complaint1 finding
- Oct 12, 2017Complaint8 findings
- Aug 14, 2017Standard and complaint33 findings
- Feb 21, 2017Complaint3 findings
- Oct 25, 2016Complaint3 findings
- Oct 11, 2016Complaint1 finding
- Sep 20, 2016Standard and complaint32 findings
- May 11, 2016Complaint2 findings
- Feb 3, 2016Complaint7 findings
- Aug 31, 2015Complaint1 finding
- Aug 6, 2015Standard18 findings
- Jun 11, 2015Complaint7 findings
- Jun 24, 2014Standard and complaint29 findings
- Mar 11, 2014Complaint1 finding
- Oct 16, 2013Complaint7 findings · 2 harm
- Jun 21, 2013—10 findings
- Mar 7, 2013—2 findings
- Aug 20, 2012—12 findings
- Feb 15, 2012—1 finding · 1 harm
- Sep 8, 2011—5 findings
- Aug 18, 2011—8 findings
- Oct 20, 2010—1 finding
- Jul 2, 2010—15 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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