Deficiency Index

Autumn Lake Healthcare at Parkville

Baltimore, Maryland · CCN 215129

33 surveys since 2011, 7 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
179
Surveys
33
Harm or worse
7
Immediate jeopardyall corrected before survey
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file28/33

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
135
Ownership
For profit - Corporation
Chain
AUTUMN LAKE HEALTHCARE
County
Baltimore
Medicare-certified since
1980

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 90 for-profit facilities with 128 or more beds in Maryland.

Last survey on record

Jul 31, 2026

101 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.253.50
Registered-nurse hours per resident day0.50—
Annual nurse turnover51.5%42.0%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.6%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3181.6%E615.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 38 of the 179 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6973×

    Provide safe, appropriate pain management for a resident who requires such services.

  • F5842×

    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.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7602×

    Ensure that residents are free from significant medication errors.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF678Nov 17, 2022

    Based on clinical record review, staff interview it was determined that the facility nursing staff failed to initiate Cardiopulmonary Resuscitation (CPR) on a resident without a pulse (#167). This was evident for 1 out 55 residents that were in the survey sample. After the incident the facility developed, initiated, and completed a plan of correction to prevent further incidents of CPR not being initiated. Therefore, this deficiency will be cited as past non-compliance immediate jeopardy. […]

  • Immediate jeopardy, isolatedF698Jun 11, 2021

    Based on medical record review and interview, the facility staff failed to provide [CONDITION(S)] services for a resident (Resident #1). This was evident for 1 of 6 residents reviewed during a complaint survey. As a result of these findings, a state of immediate jeopardy (IJ) was declared on 6/10/21 at 11:20 AM. An IJ summary tool was provided to the facility at that time. The facility submitted a draft of their plan to remove the immediacy at 2:25 PM and it was not accepted. The facility submitted a second plan at 4:17 PM and it was accepted by the state agency at 4:30 PM. After removal of the immediacy, the deficient practice remained at a level of harm for the resident with at a scope and severity of, G. An extended survey was completed on 6/10/21 and 6/11/21. […]

  • Actual harm, isolatedF684Nov 17, 2022

    Based on medical record review, observation and interview, it was determined the facility staff failed to administer medications as ordered by the physician (Resident #3,and #42). This was evident for 2 out of 56 residents reviewed during an annual survey. The findings include: 1. Review of Resident #3's medical record on 11/2/22 revealed the Resident was admitted to the facility on [DATE] with a diagnosis of heart disease. Further review of the Resident's medical record revealed the Resident had a cardiology consult on 10/11/22. Review of the Cardiology Office/Clinic Note revealed the Cardiologist ordered the Resident to start on Imdur 30 mg daily. […]

  • No harm, potential for more than minimal, patternF880Jul 25, 2025

    Based on observation and staff interviews it was determined that the facility failed to maintain infection control practices in the laundry room. This was evident during the recertification/complaint survey.The findings include:On 7/24/25 at 9:30 AM an inspection of the laundry room was conducted by the surveyor to ensure compliance with infection control. In a pile on the folding table were resident clean linen in various stages of folding and packaging. Also noted on top of the folding table were:2 cups of ice water in 12 oz plastic water cups1 super Sani Disinfectant wipe #21 Super Sani Disinfectant wipe #41 8 oz bye-bye odor spray1 8oz Aloe soft lotion (Geri-Geri)I pkt of wash clothIn an interview with Staff #19 a laundry assistant on 7/24/25 at 9:50 AM , she was asked to explain the… […]

  • No harm, potential for more than minimal, patternF572Nov 17, 2022

    Based on interview from residents, record review and interview with facility staff, it was determined that the facility failed to ensure that residents were aware of the current facilities rules and regulations after a change in ownership. This was evident during the resident council meeting and has the potential it effects all residents. The findings include: During the resident council meeting held on 11/3/2022 at 10:30 AM as part of the survey process, surveyor questioned the residents in attendance if they were aware of the facility rules and regulations and their rights under the new ownership that took place May 0f 2021. Five of the five residents in attendance were all residents in the facility prior to the transition of the facility from one company to another. […]

Read 25 findings in full →The most serious and the most recent: 25 of 179 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 31, 2026Complaint1 finding
  • Jul 25, 2025Standard and complaint9 findings
  • Apr 14, 2025Complaint4 findings
  • Nov 17, 2022Standard and complaint12 findings · 2 harm
  • Aug 19, 2021Complaint5 findings
  • Jun 11, 2021Complaint3 findings · 1 harm
  • Dec 22, 2020Complaint12 findings
  • Sep 30, 2020Infection control4 findings
Show the 25 earlier surveys
  • Sep 18, 2020Complaint7 findings · 1 harm
  • Aug 28, 2020Infection control1 finding
  • Mar 12, 2019Complaint9 findings
  • Jan 28, 2019Complaint1 finding
  • Dec 11, 2018Standard and complaint13 findings
  • Oct 19, 2018Complaint1 finding
  • Feb 13, 2018Complaint1 finding
  • Oct 30, 2017Complaint2 findings
  • Aug 11, 2017Standard and complaint21 findings · 1 harm
  • Apr 4, 2017Complaint1 finding
  • Jul 11, 2016Standard and complaint5 findings
  • Mar 30, 2016Complaint4 findings · 1 harm
  • Jul 6, 2015Complaint3 findings
  • Apr 7, 2015Standard9 findings
  • May 2, 2014Complaint2 findings
  • Jan 31, 2014Standard and complaint18 findings
  • Oct 10, 2013—1 finding
  • Jun 5, 2013—2 findings
  • Mar 25, 2013—5 findings
  • Nov 9, 2012—14 findings
  • Jun 11, 2012—1 finding
  • Apr 12, 2012—3 findings
  • Feb 21, 2012—2 findings · 1 harm
  • Oct 26, 2011—2 findings
  • Mar 30, 2011—1 finding

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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