Autumn Lake Healthcare at PikesvilleCMS ratings, inspections and fines
- Address
- 7 Sudbrook Lane, Pikesville, MD 21208
- CCN
- 215082
- Ownership type
- For-profit, limited liability company
- Certified beds
- 140
- Residents per day
- 117
- 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 Pikesville an overall rating of 2 of 5 stars. The last standard survey was on 18 Jun 2025. The latest survey cycle has 10 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 | Baltimore County median | Maryland median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 43 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) | 18 Jun 2025 | 10 | 16 |
| Cycle 2 | 11 Aug 2022 | 47 | 18 |
| Cycle 3 | No date | 4 | 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 | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 15 Aug 2025 |
| 18 Jun 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 Aug 2025 |
| 18 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 | 15 Aug 2025 |
| 18 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 15 Aug 2025 |
| 18 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 | 15 Aug 2025 |
| 18 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Aug 2025 |
| 18 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Aug 2025 |
| 18 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Aug 2025 |
| 18 Jun 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 15 Aug 2025 |
| 18 Jun 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 15 Aug 2025 |
Survey cycle 2: 47 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Aug 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 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. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | 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. | F | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0625 | Notify 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. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | Standard survey | 24 Nov 2022 |
| 11 Aug 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. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0688 | Provide 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. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 24 Nov 2022 |
| 11 Aug 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 | 3 Oct 2022 |
| 11 Aug 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | 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. | E | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0838 | Conduct 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. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0886 | Perform COVID19 testing on residents and staff. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | 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. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 24 Nov 2022 |
| 11 Aug 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 3 Oct 2022 |
| 11 Aug 2022 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 3 Oct 2022 |
Survey cycle 3: 4 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 |
|---|---|---|---|---|---|
| 21 Dec 2018 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 17 Feb 2019 |
| 21 Dec 2018 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Feb 2019 |
| 21 Dec 2018 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Feb 2019 |
| 21 Dec 2018 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Feb 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 | 3.72 | 3.60 | 3.87 |
| Registered nurses (RN) | 0.57 | 0.70 | 0.84 |
| Licensed practical nurses (LPN) | 1.06 | 0.91 | |
| Nurse aides | 2.09 | 2.12 | |
| All nurse staff, weekends | 3.33 | 3.20 | 3.47 |
- Nurse staff turnover in a year
- 47.9%
- Nurse staff turnover, Maryland median
- 41.5%
- RN turnover in a year
- 26.7%
- Administrators who left in a year
- 1
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 | 15.4% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.0% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 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
- Pikesville Operator, LLC
- Chain
- Autumn Lake Healthcare (59 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 4260 Group LLC | 5% or greater direct ownership interest | 17% | 1 Aug 2018 |
| King David Equities LLC | 5% or greater direct ownership interest | 12% | 1 Aug 2018 |
| The Markstein Group LLC | 5% or greater direct ownership interest | 6% | 1 Aug 2018 |
| Pikesville Realty LLC | 5% or greater mortgage interest | 1 Aug 2018 | |
| 4260 Group LLC | Adp of the snf | 1 Aug 2018 | |
| Accurate Staffing LLC | Adp of the snf | 1 Aug 2018 | |
| Brand Sonnenschine LLP | Adp of the snf | 1 Aug 2018 | |
| King David Equities LLC | Adp of the snf | 1 Aug 2018 | |
| Pikesville Realty LLC | Adp of the snf | 1 Aug 2018 | |
| The Markstein Group LLC | Adp of the snf | 1 Aug 2018 |
The site shows organisations only. It does not show the names of persons.
Other homes in Baltimore County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| King David Nursing and Rehabilitation Center | Baltimore | 2 of 5 | 31 | $0 | 21 Apr 2025 | |
| Courtland, LLC | Baltimore | 1 of 5 | 16 | $20,251 | 24 Jul 2025 | |
| Resorts of Augsburg | Baltimore | 2 of 5 | 30 | $23,896 | 10 Dec 2025 | |
| North Oaks Communities | Baltimore | 4 of 5 | 3 | $0 | 20 Nov 2025 | |
| Future Care Old Court | Randallstown | 5 of 5 | 2 | $0 | 17 Mar 2026 | |
| Advanced Rehab at Autumn Lake Healthcare | Lutherville | 4 of 5 | 13 | $8,021 | 11 Dec 2025 | |
| Patapsco Healthcare | Randallstown | 1 of 5 | 30 | $17,114 | 9 Feb 2026 | |
| Roland Park Rehabilitation and Healthcare Center | Baltimore | 3 of 5 | 26 | $52,359 | 20 Apr 2026 | |
| Meadow Park Rehabilitation and Healthcare Center | Catonsville | 4 of 5 | 8 | $11,452 | 18 Jun 2025 | |
| Autumn Lake Healthcare at Ruxton | Towson | 2 of 5 | 28 | $0 | 25 Feb 2026 | |
| Pickersgill Retirement Community | Towson | 4 of 5 | 4 | $0 | 10 Apr 2026 | |
| Chestnut Grn Hlth Ctr Blakehur | Towson | 5 of 5 | 11 | $0 | 18 Dec 2025 |
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 Pikesville (CCN 215082). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/autumn-lake-healthcare-at-pikesville-pikesville-md-215082/
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 Pikesville last inspected?
- The latest inspection with a citation in the CMS record was on 18 Jun 2025. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 11 Aug 2022.
- Who operates Autumn Lake Healthcare at Pikesville?
- 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 Pikesville 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.