Autumn Lake Healthcare at Long View
3332 Main Street, Manchester, MD 21102 · Carroll County · (410) 239-7139
109 certified beds, about 97 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215017 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 1, 2025, inspectors cited 4 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 30 health citations since April 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 3.96 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
50.0% 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.
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 30 health citations on file.
December 1, 2025Standard inspection · 4 citations
- 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.
Inspectors wroteBased on observation and interview with staff it was determined the facility failed to provide maintenance services necessary to maintain a sanitary and orderly interior. This was evident in 1 of 3 nourishment rooms observed during the recertification/complaint survey.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and interview with staff it was determined the facility staff failed to ensure that each resident had an accurately completed Level 1 PASARR screening prior to admission. This was evident for 1 (Resident #8) of 3 residents reviewed for PASARR during the recertification/complaint survey.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview it was determined the facility staff failed to ensure food items were clearly labeled, properly stored and discarded when expired. This was evident in 2 of 3 nourishment rooms observed in the facility during the recertification/complaint survey.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure required annual trainings were completed for all employees. This was evident for 1 (staff #8) of 5 employee records reviewed during the recertification/complaint survey.
June 26, 2025Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, record review, document review, and facility policy review, the facility failed to timely report an allegation of abuse to the state survey agency for 1 (Resident #1) of 4 sampled residents reviewed for abuse. The facility further failed to report an allegation of abuse to the state survey agency for 1 (Resident #13) of 4 sampled residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to protect all residents from potential abuse when they allowed Geriatric Nursing Assistant (GNA) #12 to continue to care for other residents after 1 (Resident #1) of 4 sampled residents reviewed for abuse, reported an allegation of abuse that the GNA pushed them in their head during the provision of care on 04/12/2025.
April 22, 2024Standard inspection, Complaint inspection · 17 citations
- E Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to complete Quarterly Minimum Data Set (MDS) assessments for residents within the regulatory time frames to facilitate appropriate care planning and maintain the current assessment record. This was evident for 4 (#70, #52, #83, #85) of 68 residents reviewed during the recertification survey.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and staff interview it was determined that facility staff failed to develop and implement comprehensive, person-centered care plans, with measurable goals and non-pharmacological approaches. This was evident for 2 (#4, #64) of 6 residents reviewed for unnecessary medications.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on resident and staff interviews and medical records review it was determined the facility 1) failed to include residents in the development of the care plan and invite to the care plan meeting, 2) failed to ensure participation in the care planning process by required interdisciplinary team members, and 3) failed to evaluate and update a care plan. This was evident for 3 (Resident #43, #1, #46) of 5 residents reviewed for care planning, and 2 (Resident #4, #64) of 6 residents reviewed for unnecessary medications.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to maintain a resident's dignity by standing over a seated resident while assisting them at meals. This was evident for 1 resident ( #19) in 1 out of 2 dining areas in the facility observed during a survey.
- 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.
Inspectors wroteBased on interview, and pertinent documentation review, it was determined that the facility failed to communicate to staff that a resident had dentures and failed to take reasonable precautions to prevent a resident's dentures from getting lost. This was evident for 1 Resident (Resident #77) out of 3 residents investigated for personal property, during a survey.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on staff interviews and the review of the facility records, it was determined that the facility failed to monitor and prevent the misappropriation of resident property. This was evident for 1 ( Resident #153) out of 16 residents reviewed for abuse during the annual survey.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on records review and interviews, the facility failed to provide the resident and/or resident's representative with the notice of transfer in writing as soon as practicable. This was evident for 2 (Resident #86, #85) of 4 residents reviewed for hospitalization.
- 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.
Inspectors wroteBased on records review and interviews, the facility failed to provide the resident and the resident's representative with the notice of bed-hold policy in writing. This was evident for 2 (Resident #86, #85) of 4 residents reviewed for hospitalization.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to complete, within 14 days, a Significant Change in Status Minimum Data Set (MDS) Assessment. This was evident for 1 (#4) of 1 residents reviewed for hospice during the survey.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to complete comprehensive Minimum Data Set (MDS) assessments within the regulatory time frames to facilitate appropriate care planning and maintain current and accurate assessment records. This was evident for 7 (#29, #52, #72, #11, #96, #92, #37) of 68 residents reviewed during the recertification survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on pertinent document review and interviews, it was determined that the facility failed to document that incontinent care was provided to a dependent resident. This was evident for 1 (resident # 298) out of 2 residents, reviewed for neglect during a survey.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, and medical records review, it was determined that the facility failed to provide treatment and care in accordance with professional standards of practice. This was evident for 1 (Resident #1) out of 4 residents who were reviewed for hospitalization during the annual survey.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on records review and interviews, it was determined that the facility failed to ensure that a resident's drug regimen was free from unnecessary drugs and failed to notify a resident's attending provider of when a medication was not given. This was evident for 3 (Resident #198, #4, #85) of 6 residents reviewed for unnecessary medications and 1 (#85) of 68 residents reviewed during hte recertification survey.
- 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.
Inspectors wroteBased on resident interviews, staff interviews, and medical record reviews, it was determined that the facility failed to implement individualized, non-pharmacological approaches to care prior to the use of psychotropics. This was evident for 1 (Resident #1) out of 1 resident reviewed for mood and behavior.
- 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.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to properly store medication as evidenced by failing to discard expired medications and failing to date medications when opened. This was evident for 3 or 3 medication carts observed during the survey.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on records review and staff interviews, it was determined that the facility failed to keep complete and accurate medical records. This was evident for 1 (Resident #16) of 16 residents reviewed for abuse, and 1 (Resident #64) of 6 residents reviewed for unnecessary medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, records review, and interviews, it was determined that the facility failed to replace and store a nebulizer mask in a sanitary manner to prevent the spread of infection, failed to post notification requiring the use of personal protective equipment (PPE), and failed to wear the proper PPE prior to entering a room which required enhanced barrier precautions (EBH). This was evident for 2 (Resident #28, #38) of 3 residents reviewed for respiratory care and 2 (Resident #85, #1) random observations during the survey.
April 25, 2019Standard inspection · 7 citations
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview with resident council representatives and staff, it was determined the facility staff failed to reply to the resident council in response to grievances or concerns in a timely manner. This was evident for 4 of 4 residents present as resident council representatives (Residents #50, #22, #45 and #255).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on complaint, reviews of a closed record, and staff interview, it was determined the facility staff failed to notify residents and/or representative of transfer and reason for transfer to the hospital in writing. This was evident for 1 (Resident #26) of 4 residents reviewed for Hospitalization during an annual recertification survey.
- 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.
Inspectors wroteBased on review of the medical record and staff interview, it was determined the facility staff failed to provide the resident and their representative with a written notice of bed hold policy, at the time of the resident transfer for hospitalization. This was evident for 1 (Resident #26) of 4 residents reviewed for Hospitalization during an annual recertification survey.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review it was determined that the facility staff failed to ensure resident assessments were accurate (#78). This was evident for 1 out of 2 residents selected for choices.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of medical record and staff interview, it was determined the facility staff failed to develop a comprehensive care plan for Resident (#26) and failed to follow an established comprehensive care plan addressing identified behavior for a resident (#25). This was evident for 2 of 47 residents selected for review during the survey process and review of care plans.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to provide care to Resident (#25) in order to obtain or maintain optimal level of well-being. This was evident for 1 of 47 residents selected for review of quality of care during the annual survey.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to provide Resident (#3) with a lid on the coffee mug as ordered by the physician. This was evident for 1 of 6 residents selected for review of nutrition care area and 1 of 47 residents selected for review during the annual survey process.
Fire safety inspections
12 fire safety citations on file: 1 on February 18, 2026, 8 on December 1, 2025, 2 on April 22, 2024, 1 on April 25, 2019.
Every fire safety citation12 citations
- E Have generator or other power source capable of supplying service within 10 seconds.
- F Establish policies and procedures for volunteers.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install corridor and hallway doors that block smoke.
- E Have restrictions on the use of portable space heaters.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- C Ensure that testing and maintenance of electrical equipment is performed.
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.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.96 | 3.87 | 3.86 |
| Registered nurses | 0.67 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.47 | 3.42 |
| Nurse aides | 2.30 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 40.2% | 45.8% |
| Registered nurse turnover | 33.3% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.11 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 4.09 on weekdays and 3.63 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.96 | 0.67 | 4.09 | 3.63 | 12.0% | 0 of 90 | 97 |
| Oct to Dec 2025 | 4.10 | 0.68 | 4.22 | 3.77 | 18.5% | 0 of 92 | 99 |
| Jul to Sep 2025 | 4.13 | 0.61 | 4.28 | 3.76 | 23.9% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.82 | 0.58 | 3.93 | 3.54 | 20.9% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 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.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.8 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.3 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.2 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.6 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.1 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.2 | 1.8 |
Owners and operators
Legal business name: 3332 MAIN STREET OPCO LLC. CMS links this home to Autumn Lake Healthcare, a group of 59 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 3332 Main Street Holdco LLC | Direct ownership interest | Organization | 08/01/2022 | |
| As Family Md4 Holdings LLC | Indirect ownership interest | Organization | 08/01/2022 | |
| M Meisels Family Holdings LLC | Indirect ownership interest | Organization | 08/01/2022 | |
| 3332 Main Street Propco LLC | 5% or greater mortgage interest | Organization | 08/01/2022 | |
| Schwartz, Mark | Corporate officer | Individual | 08/01/2022 | |
| Accurate Staffing LLC | Operational/managerial control | Organization | 08/01/2022 | |
| Hill, Elizabeth | Operational/managerial control | Individual | 12/07/2015 | |
| Schwartz, Mark | Operational/managerial control | Individual | 08/01/2022 | |
| Zibell, Jeffrey | Operational/managerial control | Individual | 12/01/2012 | |
| Stern, Aryeh | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/26/2025 | |
| Stern, Rochel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/26/2025 | |
| 3332 Main Street Holdco LLC | Adp of the SNF | Organization | 08/01/2022 | |
| 3332 Main Street Propco LLC | Adp of the SNF | Organization | 08/01/2022 | |
| Accurate Staffing LLC | Adp of the SNF | Organization | 05/26/2025 | |
| As Family Md4 Holdings LLC | Adp of the SNF | Organization | 08/01/2022 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 08/01/2022 | |
| M Meisels Family Holdings LLC | Adp of the SNF | Organization | 08/01/2022 | |
| Hill, Elizabeth | Adp of the SNF | Individual | 12/07/2019 | |
| Zibell, Jeffrey | Adp of the SNF | Individual | 12/01/2012 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on December 1, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on December 1, 2025: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 22, 2024: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 26, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
Other nursing homes nearby
- Concordia at Spiritrust Utz Terrace Hanover, 6.3 mi · 5 of 5 stars · 10 citations
- Atlee Hill Health and Rehab Center Westminster, 9.1 mi · 2 of 5 stars · 67 citations
- Carroll Lutheran Village Westminster, 9.4 mi · 5 of 5 stars · 34 citations
- Homewood Living Plum Creek, Inc Hanover, 10 mi · 5 of 5 stars · 9 citations
- Westminster Rehabilitation and Wellness Center Westminster, 10.4 mi · 2 of 5 stars · 74 citations
- Hanover Hall for Nursing and Rehabilitation Hanover, 10.6 mi · 2 of 5 stars · 49 citations
- Lorien Taneytown, Inc Taneytown, 14.6 mi · 3 of 5 stars · 37 citations
- Future Care Cherrywood Reisterstown, 15.3 mi · 5 of 5 stars · 66 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Autumn Lake Healthcare at Long View's Medicare star rating?
- CMS rates Autumn Lake Healthcare at Long View 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Autumn Lake Healthcare at Long View get at its last inspection?
- 4 health deficiencies at the standard inspection on December 1, 2025. The Maryland average is 17.
- Has Autumn Lake Healthcare at Long View been fined?
- CMS lists no fines in the last three years.
- Does Autumn Lake Healthcare at Long View 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 Long View?
- CMS lists 19 owners and managers, and links the home to Autumn Lake Healthcare. Legal business name: 3332 MAIN STREET OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.