Autumn Lake Healthcare at Catonsville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Feb 16, 2021

  Based on clinical record review, review of the facility investigation of a resident's death, and staff interview, it was determined that LPN nursing staff (Staff #8) failed to maintain CPR after it was initiated and failed to inform other nursing staff of the need to perform CPR (#11). This was evident for 1 (Resident #11) out of the 27 residents reviewed during a complaint investigation. Due to the facility's corrective measures following the incident, this is being cited as an immediate jeopardy, past non-compliance with a compliance date of [DATE]. The findings are: A review of the facility investigation on [DATE] of the unexpected death of Resident #11 (MD 667) revealed that Staff #8 found Resident #11 unresponsive on [DATE] at 4:55 AM. […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2025

  Number of residents sampled:Number of residents citedBased on observations and interviews with staff, it was determined that the facility failed to: 1) maintain proper labeling, dating, and expiration practices for food items, and 2) properly thaw raw meat in the proper area of the kitchen which had the potential to cross contaminate the food. This was evident during the annual recertification survey. The findings include:On 08/07/2025 at 8:00 AM the initial kitchen tour was conducted with the Dietary Director, Staff # 22.In the walk-in refrigerator, an opened package of hot dogs, a half onion, a half tomato, and an opened package of American cheese were observed without proper labeling, including open and expiration dates. […]

• No harm, potential for more than minimal, widespreadF655Mar 24, 2023

  Based on record review and interview, it was determined that the facility failed to provide residents with a copy of their baseline care plan and their admission medications. This was evident for 2 (#97, #107) of 3 residents reviewed for baseline care plans during the annual survey. This has the potential to affect all residents that are newly admitted to the facility. The findings include: The baseline care plan is to be developed within 48 hours of a resident's admission with a variety of detailed components of the care that the facility intends to provide to that resident. […]

• No harm, potential for more than minimal, widespreadF656Mar 24, 2023

  Based on observation, medical record review, and staff interview, it was determined that the facility staff failed to develop a comprehensive person-centered care plan that was resident-specific with measurable objectives and goals. This was evident for 7 (# 320, #63, #15, #375, #72, #25, #29 ) of 35 residents investigated during the recertification survey. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. […]

• No harm, potential for more than minimal, widespreadF657Mar 24, 2023

  Based on medical record reviews and interviews with staff and a resident, it was determined that the facility failed to ensure an interdisciplinary team, which included the resident and or the resident's representatives, contributed to the resident's comprehensive care plan as evidenced by the failure to conduct a quarterly care plan meeting. Additionally, facility staff failed to document an evaluation of each care plan for effectiveness and revise the care plan following each required assessment. This is exemplified for 10 residents (#23, #12, #63, #15, #11, #41, #58, #25, #29, #72) out of 35 residents investigated during the annual survey. The findings include. A care plan is a guide that addresses the unique needs of each resident. […]