Autumn Lake Healthcare at Ballenger CreekCMS ratings, inspections and fines
- Address
- 347 Ballenger Drive, Frederick, MD 21701
- CCN
- 215001
- Ownership type
- For-profit, corporation
- Certified beds
- 130
- Residents per day
- 112
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Autumn Lake Healthcare at Ballenger Creek an overall rating of 2 of 5 stars. The last standard survey was on 30 Jun 2025. The latest survey cycle has 30 health citations. The median for nursing homes in Maryland is 16. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Frederick County median | Maryland median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 221 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Maryland median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Jun 2025 | 30 | 16 |
| Cycle 2 | 15 Nov 2022 | 25 | 18 |
| Cycle 3 | No date | 10 | 12 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 10 Jul 2026 |
| 4 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jul 2026 |
| 20 Nov 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 16 Jan 2026 |
| 20 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 16 Jan 2026 |
| 20 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Jan 2026 |
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Jan 2026 |
| 30 Jun 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey (in dispute review) | 1 Aug 2025 |
| 30 Jun 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0584 | 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. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Aug 2025 |
| 30 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 1 Aug 2025 |
| 30 Jun 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 1 Aug 2025 |
| 30 Jun 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 Aug 2025 |
| 30 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Aug 2025 |
| 30 Jun 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 1 Aug 2025 |
Survey cycle 2: 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 1 Aug 2025 |
| 15 Nov 2022 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | B | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Feb 2023 |
| 15 Nov 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Feb 2023 |
| 15 Nov 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0760 | Ensure that residents are free from significant medication errors. | J | Standard survey | 15 Jun 2022 |
| 15 Nov 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 16 Jan 2023 |
| 15 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2023 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2018 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0761 | 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. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 2 Jan 2019 |
| 19 Nov 2018 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jan 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Maryland median | Maryland average (CMS) |
|---|---|---|---|
| All nurse staff | 3.80 | 3.60 | 3.87 |
| Registered nurses (RN) | 0.68 | 0.70 | 0.84 |
| Licensed practical nurses (LPN) | 1.12 | 0.91 | |
| Nurse aides | 2.00 | 2.12 | |
| All nurse staff, weekends | 3.48 | 3.20 | 3.47 |
- Nurse staff turnover in a year
- 32.7%
- Nurse staff turnover, Maryland median
- 41.5%
- RN turnover in a year
- 34.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.0% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 41.9% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.3% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 11.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- 347 Ballenger Opco LLC
- Chain
- Autumn Lake Healthcare (59 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 347 Ballenger Holdco LLC | 5% or greater direct ownership interest | 100% | 1 May 2021 |
| Accurate Staffing LLC | Adp of the snf | 1 May 2021 | |
| Brand Sonnenschine LLP | Adp of the snf | 1 May 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Frederick County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Northampton Manor Nursing and Rehabilitation Cente | Frederick | 1 of 5 | 15 | $16,562 | 30 Jan 2026 | |
| Autumn Lake Healthcare at Glade Valley | Walkersville | 2 of 5 | 24 | $37,265 | 1 Jun 2026 | |
| Frederick Crossing of Journey | Frederick | 4 of 5 | 25 | $13,538 | 23 Feb 2026 | |
| Homewood Living Frederick | Frederick | 5 of 5 | 2 | $0 | 22 Jul 2025 | |
| Citizens Care and Rehabilitation Center of Frederi | Frederick | 5 of 5 | 10 | $0 | 20 Mar 2026 | |
| Willowbrooke Ct Skilled Care Buckingham's Choice | Adamstown | 5 of 5 | 4 | $0 | 17 Feb 2026 | |
| Autumn Lake Healthcare at Braddock Heights | Frederick | 4 of 5 | 17 | $0 | 23 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Autumn Lake Healthcare at Ballenger Creek (CCN 215001). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-lake-healthcare-at-ballenger-creek-frederick-md-215001/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Autumn Lake Healthcare at Ballenger Creek last inspected?
- The latest inspection with a citation in the CMS record was on 4 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 15 Nov 2022.
- Who operates Autumn Lake Healthcare at Ballenger Creek?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Autumn Lake Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Autumn Lake Healthcare at Ballenger Creek a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Maryland as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.