Autumn Lake Healthcare at Glen Burnie

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF641Jul 31, 2026

  Based on review of complaints, medical record review, and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 4 (Resident #10, #2, #7, #9) of 11 residents reviewed for complaints during a complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident. […]

• No harm, potential for more than minimal, patternF698May 11, 2026

  Based on observation, record review, and interviews with staff, it was determined that the facility failed to ensure residents were on time to scheduled dialysis treatment to received their full prescribed time. The facility also failed to ensure an adequate supply, and appropriate maintenance of Dialysis Chairs (Supplied by the [NAME] Lake Healthcare at Glen [NAME], and used for transport to Dialysis). This was found to be evident in 6 (#10, #127, #140, #197, #47, #175) of 17 residents reviewed for dialysis. 1. On 5/7/2026 at approximately 10:00AM, the Surveyor observed the dialysis Registered Nurse (RN #17) send a dialysis chair to the 2nd floor Gateway Unit. […]

• No harm, potential for more than minimal, patternF842May 11, 2026

  Based on observations, staff interviews, and record review, it was determined that the facility failed to:1.Maintain medical records in accordance with accepted professional standards and practices. This was evident for 1 (#186) of 9 residents reviewed for baseline care plans during this annual survey.2(a-c).Accurately document the baseline care plan. This was found to be evident for 8 (#193, #192, #44, #55, #78, #96, #118, #181) of 19 residents reviewed for smoking ,and 1 (#10) of 2 residents' Kardex reviewed.The findings include: 1. A tracheostomy is a hole that surgeons create in the front of the neck, into the windpipe (trachea). Surgeons place a tracheostomy tube into the hole to keep it open for breathing. […]

• No harm, potential for more than minimal, patternF657Feb 27, 2025

  Based on interviews and medical record reviews, it was determined that the facility failed to 1) use an interdisciplinary team to revise care plans in order to meet the residents' need and 2) ensure that a resident's representative was offered an opportunity to participate in a quarterly care plan review assessment. This was evident for 5 (#23, #2, #64, #73 and #119) of 34 residents reviewed during the recertification/complaint survey. The findings include: Care plans are developed for residents to guide the care that residents receive in the facility. They are required to be developed within 7 days of completion of a resident's admission comprehensive Minimum Data Set (MDS) assessment and revised at least every quarter (or more often as needed). […]

• No harm, potential for more than minimal, patternF800Feb 27, 2025

  Based on observations, interviews with facility staff, and review of the facility's documentation, it was determined that the facility failed to accurately provide a meal based on the facility's established menu and respect residents' right to make choices about their diet. This was evident for 10 of 64 residents (Resident #147, #169, #524, #523, #149, #525, #450, #451, #452, #453) reviewed for accuracy of meals during a recertification/complaint survey. The findings include: The Certified Dietary Manager (CDM #62) was interviewed during an observation in the kitchen on 2/24/25 at 12:07PM. When asked how residents choose meals, he stated they have a menu with the 4 week cycle of meals and a copy of the menu is also provided by the activities staff. […]