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Autumn Lake Healthcare at Birch ManorCMS ratings, inspections and fines

Address
7309 Second Avenue, Sykesville, MD 21784
CCN
215136
Ownership type
For-profit, limited liability company
Certified beds
118
Residents per day
106
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating3 of 5
Staffing rating3 of 5
Quality measure rating5 of 5
Care 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 Birch Manor an overall rating of 4 of 5 stars. The last standard survey was on 11 Jun 2025. The latest survey cycle has 23 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.

CMS star ratings of Autumn Lake Healthcare at Birch Manor, with medians
Rating (1 to 5 stars)This homeCarroll County medianMaryland medianUS average (CMS)
Overall rating44.03.03.0
Health inspection rating33.03.02.8
Staffing rating34.03.02.9
Quality measure rating53.04.03.6

A median is the middle value of the homes in the group: 10 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.

Health citations of Autumn Lake Healthcare at Birch Manor in the last three survey cycles
Survey cycleStandard surveyCitationsMaryland median
Cycle 1 (latest)11 Jun 20252316
Cycle 29 Jun 20212418
Cycle 3No date3812

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.

Scope and severity of the 85 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 23 citations

Standard survey of this cycle: .

Health citations of Autumn Lake Healthcare at Birch Manor in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
20 Nov 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DComplaint investigation5 Jan 2026
11 Jun 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey15 Jul 2025
11 Jun 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard survey15 Jul 2025
11 Jun 2025F0584Honor 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.DStandard survey15 Jul 2025
11 Jun 2025F0585Honor 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.DComplaint investigation15 Jul 2025
11 Jun 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Jul 2025
11 Jun 2025F0610Respond appropriately to all alleged violations.DComplaint investigation15 Jul 2025
11 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey15 Jul 2025
11 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey15 Jul 2025
11 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey15 Jul 2025
11 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint investigation15 Jul 2025
11 Jun 2025F0679Provide activities to meet all resident's needs.EComplaint investigation15 Jul 2025
11 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Jul 2025
11 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Jul 2025
11 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Jul 2025
11 Jun 2025F0791Provide or obtain dental services for each resident.DStandard survey15 Jul 2025
11 Jun 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey15 Jul 2025
11 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey15 Jul 2025
11 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey15 Jul 2025
11 Jun 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey15 Jul 2025
11 Jun 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey15 Jul 2025
11 Jun 2025F0880Provide and implement an infection prevention and control program.EStandard survey15 Jul 2025
11 Jun 2025F0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.DStandard survey15 Jul 2025

Survey cycle 2: 24 citations

Standard survey of this cycle: .

Health citations of Autumn Lake Healthcare at Birch Manor in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
4 Nov 2024F0584Honor 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.EComplaint investigation6 Dec 2024
4 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Dec 2024
9 Jun 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey6 Aug 2021
9 Jun 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey6 Aug 2021
9 Jun 2021F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey6 Aug 2021
9 Jun 2021F0583Keep residents' personal and medical records private and confidential.DStandard survey6 Aug 2021
9 Jun 2021F0584Honor 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.DStandard survey6 Aug 2021
9 Jun 2021F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey6 Aug 2021
9 Jun 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey6 Aug 2021
9 Jun 2021F0624Prepare residents for a safe transfer or discharge from the nursing home.DStandard survey6 Aug 2021
9 Jun 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey6 Aug 2021
9 Jun 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Aug 2021
9 Jun 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey6 Aug 2021
9 Jun 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey6 Aug 2021
9 Jun 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Aug 2021
9 Jun 2021F0688Provide 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.DStandard survey6 Aug 2021
9 Jun 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey6 Aug 2021
9 Jun 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey6 Aug 2021
9 Jun 2021F0761Ensure 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.DStandard survey6 Aug 2021
9 Jun 2021F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey6 Aug 2021
9 Jun 2021F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DStandard survey6 Aug 2021
9 Jun 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey6 Aug 2021
9 Jun 2021F0923Have enough outside ventilation via a window or mechanical ventilation, or both.DStandard survey6 Aug 2021
9 Jun 2021F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey6 Aug 2021

Survey cycle 3: 38 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Autumn Lake Healthcare at Birch Manor in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
3 Aug 2018F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey8 Oct 2018
3 Aug 2018F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey8 Oct 2018
3 Aug 2018F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard survey8 Oct 2018
3 Aug 2018F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard survey8 Oct 2018
3 Aug 2018F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard survey8 Oct 2018
3 Aug 2018F0584Honor 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.EStandard survey8 Oct 2018
3 Aug 2018F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey8 Oct 2018
3 Aug 2018F0610Respond appropriately to all alleged violations.DStandard survey8 Oct 2018
3 Aug 2018F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey8 Oct 2018
3 Aug 2018F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey8 Oct 2018
3 Aug 2018F0624Prepare residents for a safe transfer or discharge from the nursing home.DStandard survey8 Oct 2018
3 Aug 2018F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard survey8 Oct 2018
3 Aug 2018F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey8 Oct 2018
3 Aug 2018F0641Ensure each resident receives an accurate assessment.EStandard survey8 Oct 2018
3 Aug 2018F0642Ensure a qualified health professional conducts resident assessments.DStandard survey8 Oct 2018
3 Aug 2018F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFStandard survey8 Oct 2018
3 Aug 2018F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.FStandard survey8 Oct 2018
3 Aug 2018F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard survey8 Oct 2018
3 Aug 2018F0679Provide activities to meet all resident's needs.DStandard survey8 Oct 2018
3 Aug 2018F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey8 Oct 2018
3 Aug 2018F0688Provide 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.DStandard survey8 Oct 2018
3 Aug 2018F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 Oct 2018
3 Aug 2018F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Oct 2018
3 Aug 2018F0692Provide enough food/fluids to maintain a resident's health.DStandard survey8 Oct 2018
3 Aug 2018F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey8 Oct 2018
3 Aug 2018F0732Post nurse staffing information every day.CStandard survey8 Oct 2018
3 Aug 2018F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard survey8 Oct 2018
3 Aug 2018F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey8 Oct 2018
3 Aug 2018F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey8 Oct 2018
3 Aug 2018F0758Implement 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.EStandard survey8 Oct 2018
3 Aug 2018F0761Ensure 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.EStandard survey8 Oct 2018
3 Aug 2018F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.CStandard survey8 Oct 2018
3 Aug 2018F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Oct 2018
3 Aug 2018F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FStandard survey8 Oct 2018
3 Aug 2018F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey8 Oct 2018
3 Aug 2018F0881Implement a program that monitors antibiotic use.EStandard survey8 Oct 2018
3 Aug 2018F0908Keep all essential equipment working safely.FStandard survey8 Oct 2018
3 Aug 2018F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey8 Oct 2018

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.

Nurse staffing hours per resident per day at Autumn Lake Healthcare at Birch Manor
StaffThis homeMaryland medianMaryland average (CMS)
All nurse staff3.423.603.87
Registered nurses (RN)0.480.700.84
Licensed practical nurses (LPN)1.100.91
Nurse aides1.852.12
All nurse staff, weekends3.133.203.47
Nurse staff turnover in a year
35.9%
Nurse staff turnover, Maryland median
41.5%
RN turnover in a year
38.5%
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.

Quality measures of Autumn Lake Healthcare at Birch Manor, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay26.5%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.1%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.3%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.9%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.6%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, limited liability company
Legal business name
7309 Second Avenue Opco LLC
Chain
Autumn Lake Healthcare (59 homes in the CMS chain file)
Organisations in the CMS ownership record of Autumn Lake Healthcare at Birch Manor
OrganisationRole in the CMS recordInterestSince
7309 Second Avenue Holdco LLC5% or greater direct ownership interest100%1 Aug 2022
7309 Second Avenue Propco LLC5% or greater mortgage interest1 Aug 2022
7309 Second Avenue Holdco LLCAdp of the snf1 Aug 2022
7309 Second Avenue Propco LLCAdp of the snf1 Aug 2022
Accurate Staffing LLCAdp of the snf1 Aug 2022
Brand Sonnenschine LLPAdp of the snf1 Aug 2022

The site shows organisations only. It does not show the names of persons.

Other homes in Carroll County

The 9 nearest other nursing homes in Carroll County, Maryland
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Willowbrooke Court Skilled Care Center FairhavenSykesville4 of 510$018 Jul 2025
Copper Ridge Nursing and Assisted Living CenterSykesville1 of 523$9,1135 Jun 2025
Mount Airy Nursing and Rehab CenterMount Airy2 of 512$029 Aug 2025
Lorien Health Systems Mt AiryMount Airy5 of 511$013 Aug 2025
Westminster Rehabilitation and Wellness CenterWestminster2 of 527$63,6814 May 2026
Carroll Lutheran VillageWestminster5 of 56$06 Jun 2025
Atlee Hill Health and Rehab CenterWestminster2 of 519$14,88829 Aug 2025
Autumn Lake Healthcare at Long ViewManchester4 of 54$01 Dec 2025
Lorien Taneytown, IncTaneytown3 of 511$65,40025 Sep 2025

All 10 nursing homes in Carroll County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Autumn Lake Healthcare at Birch Manor (CCN 215136). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-lake-healthcare-at-birch-manor-sykesville-md-215136/

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 Birch Manor last inspected?
The latest inspection with a citation in the CMS record was on 20 Nov 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 9 Jun 2021.
Who operates Autumn Lake Healthcare at Birch Manor?
The CMS record gives the ownership type as for-profit, limited liability company. 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 Birch Manor 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.