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Autumn Lake Healthcare at Crofton

2131 Davidsonville Road, Crofton, MD 21114 · Anne Arundel County · (410) 721-1000

180 certified beds, about 156 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215120 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 25, 2025, inspectors cited 18 health deficiencies (the Maryland average is 17, the national average 9.2).

None of its 37 health citations since March 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.07 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.

42.7% of nursing staff left within the year CMS measured (Maryland average 40.2%).

CMS links it to Autumn Lake Healthcare, an affiliated group of 59 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
35D
0E
2F
Potential for minimal harm
0A
0B
0C
September 25, 2025Standard inspection, Complaint inspection · 20 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure a proper sanitary environment in a food and equipment preparation/storage area. This was identified during multiple observations of the kitchen during the annual survey. This deficient practice has the potential to affect all residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on observation and staff interviews, it was determined that the facility failed to maintain appropriate infection control practices. This was evident during observations of the laundry area during the facility's recertification survey.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on observations and interviews, it was determined that the facility 1.) failed to ensure that resident rights are maintained by knocking prior to entering a resident's room and 2.) failed to protect the resident's dignity by not ensuring urine bags were covered. This was evident for 1 (Resident #69 and Resident #102) out of 4 resident's reviewed during the annual survey .
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on medical record reviews and staff interviews, it was determined that the facility failed to ensure a copy of 1.) a resident's medical power of attorney (POA) and 2.) a copy of a resident's advance directive was in the resident's medical records. This deficient practice was evident for 2 (Resident #25 and Resident #40) out of 3 residents reviewed for advanced directives during the annual survey. Advance Directive (AD) is a written instruction, such as a living will or durable power of attorney (POA) for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated.
  5. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on observation and interviews, it was determined that the facility failed to ensure resident medical records were maintained secure and confidential. This was evident during 1 of several observations of the 400 hallway during the annual survey.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to protect a resident from abuse. This was evident for 1 (Resident #199) out of 12 residents reviewed for abuse.
  7. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record review and interview, it was determined that facility staff failed to ensure that the residents were free of misappropriation of property. This was evident for 1 (#195) of 1 resident reviewed for misappropriation of property.
  8. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to develop and implement abuse prevention policies and procedures. This was evident for 1 of 1 abuse policy reviewed.
  9. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and staff interviews, it was determined that the facility failed to provide a notice of transfer/discharge to a resident and/or the resident's responsible party (RP). This was evident for 1 resident (Resident #71) out of 2 residents reviewed for discharge process during the facility's recertification survey.
  10. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and staff interview it was determined that the facility staff failed to code a resident's status accurately on the Minimum Data Set (MDS) assessment. This was evidentfor 1 (Resident #122) out of 2 residents reviewed for accidents during the annual survey.
  11. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and staff interviews, it was determined that the facility failed to develop comprehensive care plan for residents This was evident for 1 resident (Resident #1) out of 2 residents reviewed for care plan during the facility's recertification survey.
  12. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteNumber of residents sampled: Number of residents cited: Based on interviews and medical record reviews, it was determined that the facility staff failed to ensure the resident's primary health care representative was invited to care plan meetings. This deficient practice was evident for one (#13) resident reviewed for care plan timing and revision during the annual survey.
  13. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to provide and document activities in accordance with resident preferences. This was evident for 1 resident (Resident #102) out of 2 residents reviewed for activities during the facility's recertification survey.
  14. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and staff interviews, it was determined that the facility failed to 1.) initiate treatment for a resident who reported a new clinical concern, 2.) ensure that a medication was available for a resident upon admission since the resident could not eat without the medication, 3.) follow physician orders for blood pressure (BP) measurements. This was evident for 3 resident (Resident #1, #196, and #176) out of 11 residents reviewed during the facility's recertification survey.
  15. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on observation, medical record review, and interview, it was determined the facility staff failed to ensure that residents received respiratory care consistent with professional standards of practice. This was evident for 2 resident (Resident #107 and Resident #9) out of 4 residents reviewed for respiratory therapy during the facility's recertification survey.
  16. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to prevent a significant medication error. This was evidenced in 1 (Resident #199) out of 6 residents reviewed for medications.
  17. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure residents were educated on the benefits and risks of pneumococcal vaccine following a refusal. This was evident for 1 resident (Resident #40) out of 5 residents reviewed for immunizations.
  18. D
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    F941 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure all direct care staff received effective communication training. This was evident for 1 (Staff #38) out of 5 staff reviewed for staff training.
  19. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure all staff received mandatory Quality Assurance and Performance Improvement (QAPI) training. This was evident for 1 (Staff #38) out of 5 staff reviewed for staff training.
  20. D
    Provide training in compliance and ethics.
    F946 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2025
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure staff received the required compliance and ethics training. This was evident for 1 (Staff #38) out of 5 staff reviewed for staff training.
February 20, 2024Standard inspection, Complaint inspection · 13 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observation, medical record review, and interviews it was determined the facility failed to document the interdisciplinary team assessed and deemed appropriate a resident to self-administer medication. This deficient practice was evidenced in 1 (#102) of 1 resident who was allowed to self-administer medication during the survey.
  2. D
    Assure the security of all personal funds of residents deposited with the facility.
    F570 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure the surety bond covered the financial assets of the residents who finances they manage. This deficient practice was discovered during the survey.
  3. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observation and interviews it was determined that the facility staff failed to maintain the building in good repair and failed to maintain a comfortable homelike environment for residents. This deficient practice was evident in 3 resident rooms and 1 shower room discovered during the survey.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on record review and interview it was determined the facility staff failed to notify the state agency of an alleged abuse case within the allotted 2-hour reporting window. This deficient practice was evidenced in 1 of 2 facility reported incident's reviewed during the survey.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observations, medical record review, and interview it was determined that the facility staff failed to (1) initiate a person-centered care plan in a timely manner for a resident who was receiving oxygen therapy and failed to (2) ensure a residents' care plan was implemented for a resident with complaints of pain. This deficient practice was evident in 1 (#309) of 2 residents observed with oxygen therapy and 1 (Resident #154) of 3 residents reviewed for pain management
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on interviews and record review, it was determined that the facility failed to develop a person-centered care plan that was reviewed, revised, and implemented timely by an interdisciplinary team composed of individuals who had knowledge of the resident and his/her medical and psychosocial needs. This was evident for 2 (Resident #413 and #409) out of 2 residents reviewed during the survey.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on medical record review and interviews it was determined that the facility staff failed to ensure a dialysis resident had orders for the arteriovenous graft to be assessed according to nursing professional standards. This deficient practice was evident in 1 (#102) of 1 resident record reviewed for graft orders.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to: (1) administer a medication timely as ordered by the physician for (Resident #215) (2) administer oxygen therapy according to the physician's order and failed to notify the assigned nurse of a resident's compromised respiratory status, and (3) follow rotation of injection sites for administration of insulin for (Resident #15). This was evident in 3 of 25 residents records reviewed for nursing staff following physician orders during the survey.
  9. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on resident medical record review, and staff interview it was determined the facility failed to ensure that a resident prescribed psychotropic drugs received gradual dose reductions in an effort to discontinue the medications. This was evident for 1 resident (#127) out of 7 residents reviewed during the survey.
  10. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that injectable immunization diluents and/or vials had matching expiration dates. Additionally, the facility failed to comply with its medication storage policy and procedures. This was found to be true for 6 out 6 varicella injectables located in the medication refrigerator #2 located on unit # 3. Additionally, six vials of Hepatitis B were found expired in medication refrigerator #1 located on unit # 3.
  11. D
    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.
    F838 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on record review and interview it was determined that the facility failed to provide an updated and accurate facility assessment. This deficient practice was discovered during the survey
  12. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on medical records review and interview and it was determined that the facility failed to document accurate and complete information in resident (#215's) clinical record. This occurred in 1 of 18 residents reviewed during the survey.
  13. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 4, 2024
    Inspectors wroteBased on observation and interviews it was determined that the facility staff failed to maintain infection control practices for a resident with a foley catheter. This deficient practice was evidenced in 1(#145) of two residents assessed for urinary catheters during the survey.
March 25, 2019Standard inspection · 4 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2019
    Inspectors wroteBased on an interview with family member, who is the responsible party and the resident, the facility failed to honor the family whishes to change the bed linen of the resident in a timely manner. This was evident for 1 out of 1 resident (R#292) reviewed. Findings Include: On 3/19/19 at 12:58 PM an interview was conducted with Resident # 292's daughter who is also the Responsible Party (RP). the daughter stated that on 3/18/19 she noticed a large amount of blood and drainage coming from fracture site. She asked the nurse to come in and check the dressing and to change the bed linen as it was quite soiled. This occurred during the afternoon of 3/18/19. The resident's linen was not changed until after 6 PM that evening. [...]
  2. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2019
    Inspectors wroteBased on the medical record and staff interviews, the facility staff failed to provide required written notice for Resident #117, or the Resident's responsible party, of the bed hold policy during a transfer out of the facility. This was evident for 1 out of 1 residents investigated for hospitalization during the survey process.
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2019
    Inspectors wroteBased on observation of medication storage room and medication carts on March 25,2019 the facility failed to date medications that were opened on station 3 front certified medication aid (CMA) medication cart. This was evident for 1 out of 8 medication carts looked at for compliance.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2019
    Inspectors wroteBased on observation it was determined that the facility staff failed to use proper hand washing techniques prior to and after administering medications. This practice was observed during 3 times out of 4 residents observed during the medication pass.

Fire safety inspections

37 fire safety citations on file: 4 on September 25, 2025, 24 on February 20, 2024, 9 on March 25, 2019.

Every fire safety citation37 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · September 25, 2025 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 25, 2025 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 25, 2025 · Corrected (the home has a date of correction)
  4. D
    Have proper medical gas storage and administration areas.
    K 923 · September 25, 2025 · Corrected (the home has a date of correction)
  5. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · February 20, 2024 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · February 20, 2024 · Corrected (the home has a date of correction)
  7. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 20, 2024 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 20, 2024 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 20, 2024 · Corrected (the home has a date of correction)
  10. F
    Provide a written emergency evacuation plan.
    K 711 · February 20, 2024 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 20, 2024 · Corrected (the home has a date of correction)
  12. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 20, 2024 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 20, 2024 · Corrected (the home has a date of correction)
  14. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 20, 2024 · Corrected (the home has a date of correction)
  15. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · February 20, 2024 · Corrected (the home has a date of correction)
  16. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 20, 2024 · Corrected (the home has a date of correction)
  17. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 20, 2024 · Corrected (the home has a date of correction)
  18. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · February 20, 2024 · Corrected (the home has a date of correction)
  19. E
    Have proper medical gas storage and administration areas.
    K 923 · February 20, 2024 · Corrected (the home has a date of correction)
  20. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · February 20, 2024 · Corrected (the home has a date of correction)
  21. D
    Have exits that are accessible at all times.
    K 271 · February 20, 2024 · Corrected (the home has a date of correction)
  22. D
    Install proper backup exit lighting.
    K 281 · February 20, 2024 · Corrected (the home has a date of correction)
  23. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 20, 2024 · Corrected (the home has a date of correction)
  24. D
    Install an approved automatic sprinkler system.
    K 351 · February 20, 2024 · Corrected (the home has a date of correction)
  25. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · February 20, 2024 · Corrected (the home has a date of correction)
  26. D
    Meet other general requirements that are deficient.
    K 500 · February 20, 2024 · Corrected (the home has a date of correction)
  27. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 20, 2024 · Corrected (the home has a date of correction)
  28. D
    Provide properly sized and located linen or trash receptacles.
    K 754 · February 20, 2024 · Corrected (the home has a date of correction)
  29. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 25, 2019 · Corrected (the home has a date of correction)
  30. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 25, 2019 · Corrected (the home has a date of correction)
  31. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 25, 2019 · Corrected (the home has a date of correction)
  32. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 25, 2019 · Corrected (the home has a date of correction)
  33. D
    Meet other general requirements.
    K 100 · March 25, 2019 · Corrected (the home has a date of correction)
  34. D
    Have proper medical gas storage and administration areas.
    K 923 · March 25, 2019 · Corrected (the home has a date of correction)
  35. C
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · March 25, 2019 · Corrected (the home has a date of correction)
  36. B
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 25, 2019 · Corrected (the home has a date of correction)
  37. B
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · March 25, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)4.073.873.86
Registered nurses0.510.840.69
All nursing staff on weekends3.633.473.42
Nurse aides2.25
Licensed practical nurses1.32
Nursing staff turnover (share who left in a year)42.7%40.2%45.8%
Registered nurse turnover20.0%38.7%42.9%
Administrators who left0

CMS expects 4.66 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.25 on weekdays and 3.63 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 4.07 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.070.514.253.63 9.0%0 of 90156
Oct to Dec 20254.070.504.213.71 16.9%0 of 92160
Jul to Sep 20254.020.364.183.63 18.4%0 of 92163
Apr to Jun 20253.990.374.133.66 22.4%0 of 91164
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maryland, Jan to Mar 20263.730.743.883.348.0%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMarylandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.020.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.32.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.022.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.85.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.213.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.021.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.39.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.21.8

Owners and operators

Legal business name: 2131 DAVIDSONVILLE OPCO, LLC. CMS links this home to Autumn Lake Healthcare, a group of 59 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
A&r Stern Family Cc Holdings LLC5% or greater direct ownership interestOrganization77%08/01/2021
Stern, AryehIndirect ownership interestIndividual08/01/2021
2131 Davidsonville Propco LLC5% or greater mortgage interestOrganization08/01/2021
Schwartz, MarkCorporate officerIndividual08/01/2021
Accurate Staffing LLCOperational/managerial controlOrganization08/01/2021
Brand Sonnenschine LLPOperational/managerial controlOrganization08/01/2021
Mugera, CharlesOperational/managerial controlIndividual05/10/2017
Schwartz, MarkOperational/managerial controlIndividual08/01/2021
Wheat, MaryOperational/managerial controlIndividual01/04/2010
Stern, RochelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/28/2025
2131 Davidsonville Propco LLCAdp of the SNFOrganization08/01/2021
A&r Stern Family Cc Holdings LLCAdp of the SNFOrganization08/01/2021
Accurate Staffing LLCAdp of the SNFOrganization05/08/2025
Brand Sonnenschine LLPAdp of the SNFOrganization05/08/2025
Meisels, MorrisAdp of the SNFIndividual08/18/2021
Mugera, CharlesAdp of the SNFIndividual05/10/2017
Stern, AryehAdp of the SNFIndividual08/01/2021
Wheat, MaryAdp of the SNFIndividual01/04/2010

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on September 25, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on September 25, 2025: "Ensure each resident receives an accurate assessment."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on September 25, 2025: "Provide and implement an infection prevention and control program."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on September 25, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.

Common questions

What is Autumn Lake Healthcare at Crofton's Medicare star rating?
CMS rates Autumn Lake Healthcare at Crofton 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Autumn Lake Healthcare at Crofton get at its last inspection?
18 health deficiencies at the standard inspection on September 25, 2025. The Maryland average is 17.
Has Autumn Lake Healthcare at Crofton been fined?
CMS lists no fines in the last three years.
Does Autumn Lake Healthcare at Crofton accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Autumn Lake Healthcare at Crofton?
CMS lists 18 owners and managers, and links the home to Autumn Lake Healthcare. Legal business name: 2131 DAVIDSONVILLE OPCO, LLC.

Sources

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