Elder Care Record

Maryland › Frederick County › Frederick

Autumn Lake Healthcare At Braddock Heights

6012 Jefferson Boulevard, Frederick, MD 21703

CCN 215199 · For-profit, individual · 65 certified beds · chain Autumn Lake Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Autumn Lake Healthcare At Braddock Heights, in Frederick, Maryland, is certified for 65 beds under for-profit, individual ownership and belongs to the Autumn Lake Healthcare chain.

CMS gives it 4 of 5 stars overall, above the Maryland median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.

Inspectors recorded 40 health deficiencies across the three most recent survey cycles (17, 7, 16 by cycle, most recent first), none at the actual-harm level. That is 61.5 per 100 beds, more than the state median of 43.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (1.0 RN), close to the Maryland median of 3.6; nursing staff turnover is 51.1%.

40health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.6
88%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityFrederick Co. medianMaryland medianUS average
Overall star rating4433.0
Health citations, 3 cycles40654528.7
Citations per 100 beds61.554.843.726.8
Total nurse hours per resident day3.33.83.63.9
RN hours per resident day1.00.80.70.7
Nursing staff turnover51.1%29.3%41.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)17
Cycle 27
Cycle 316

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 16 Aug 2024.

Severity mix: D ×38 E ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Jan 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation27 Feb 2026
23 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Feb 2026
23 Jan 2026F0610Respond appropriately to all alleged violations.DComplaint investigation27 Feb 2026
23 Jan 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey27 Feb 2026
23 Jan 2026F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey27 Feb 2026
23 Jan 2026F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey27 Feb 2026
23 Jan 2026F0641Ensure each resident receives an accurate assessment.DStandard survey27 Feb 2026
23 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Feb 2026
23 Jan 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey27 Feb 2026
23 Jan 2026F0679Provide activities to meet all resident's needs.DStandard survey27 Feb 2026
23 Jan 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey27 Feb 2026
23 Jan 2026F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DStandard survey27 Feb 2026
23 Jan 2026F0761Ensure 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 survey27 Feb 2026
23 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey27 Feb 2026
23 Jan 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey27 Feb 2026
23 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey27 Feb 2026
23 Jan 2026F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.DStandard survey27 Feb 2026
16 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard survey4 Oct 2024
16 Aug 2024F0880Provide and implement an infection prevention and control program.EStandard survey4 Oct 2024
16 Aug 2024F0585Honor 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 investigation4 Oct 2024
16 Aug 2024F0625Notify 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.DStandard survey4 Oct 2024
16 Aug 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation4 Oct 2024
16 Aug 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey4 Oct 2024
16 Aug 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey4 Oct 2024
27 Jun 2019F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey7 Aug 2019
27 Jun 2019F0565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard survey7 Aug 2019
27 Jun 2019F0578Honor 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.DStandard survey7 Aug 2019
27 Jun 2019F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey7 Aug 2019
27 Jun 2019F0583Keep residents' personal and medical records private and confidential.DStandard survey7 Aug 2019
27 Jun 2019F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey7 Aug 2019
27 Jun 2019F0610Respond appropriately to all alleged violations.DStandard survey7 Aug 2019
27 Jun 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Aug 2019
27 Jun 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Aug 2019
27 Jun 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey7 Aug 2019
27 Jun 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey7 Aug 2019
27 Jun 2019F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey7 Aug 2019
27 Jun 2019F0759Ensure medication error rates are not 5 percent or greater.DStandard survey7 Aug 2019
27 Jun 2019F0761Ensure 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 survey7 Aug 2019
27 Jun 2019F0880Provide and implement an infection prevention and control program.DStandard survey7 Aug 2019
27 Jun 2019F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey7 Aug 2019

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.31 h
Nurse aides1.62 h
LPN0.72 h
RN0.98 h
Weekend total3.12 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 51.1%, RNs 35.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay27.4%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.7%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.2%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay11.3%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.5%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual. Chain: Autumn Lake Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
6012 Jefferson Boulevard Holdco LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED01/01/2023
6012 Jefferson Boulevard Holdco LLCAdp of the snfNOT APPLICABLE01/01/2023
Accurate Staffing LLCAdp of the snfNOT APPLICABLE01/01/2023
Brand Sonnenschine LLPAdp of the snfNOT APPLICABLE01/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Frederick County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Citizens Care and Rehabilitation Center of FrederiFrederick1705443319.4—20 Mar 2026
Homewood Living FrederickFrederick1205551915.8—22 Jul 2025
Willowbrooke Ct Skilled Care Buckingham'S ChoiceAdamstown425552354.8—17 Feb 2026
Frederick Crossing of JourneyFrederick1204338369.2$14K17 Jun 2026
Autumn Lake Healthcare At Ballenger CreekFrederick1302136550.0—4 Jun 2026
Autumn Lake Healthcare At Glade ValleyWalkersville1242228770.2$37K1 Jun 2026
Northampton Manor Nursing and Rehabilitation CenteFrederick1961146734.2$17K30 Jan 2026

All 8 facilities in Frederick County

Questions and answers

How many deficiencies has Autumn Lake Healthcare At Braddock Heights been cited for?

40 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Autumn Lake Healthcare At Braddock Heights been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Autumn Lake Healthcare At Braddock Heights compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Autumn Lake Healthcare At Braddock Heights?

It is part of the Autumn Lake Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include 6012 Jefferson Boulevard Holdco LLC. Individual owners and managers are not listed on this site.

When was Autumn Lake Healthcare At Braddock Heights last inspected?

The most recent survey or investigation in the CMS record is dated 23 Jan 2026; the most recent standard health survey was 23 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.