AUTUMN LAKE HEALTHCARE AT SPA CREEK
AUTUMN LAKE HEALTHCARE AT SPA CREEK is a 130-bed nursing home in ANNAPOLIS, Maryland. CMS has certified it for Medicare and Medicaid since 1994-01-06. It averages 116.0 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT SPA CREEK?
CMS lists 73 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT SPA CREEK since 2018-11-05, 30 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-08-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-06 | F0908 | Keep all essential equipment working safely. | F |
| 2025-08-06 | F0656, F0658, F0759, F0761, F0812, F0883 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-08-06 | F0550, F0567, F0584, F0628, F0641, F0657, F0677, F0684, F0756, F0757, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to manage his or her financial affairs. / 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program. | D |
| 2025-08-06 | F0680 | Ensure the activities program is directed by a qualified professional. | C |
| 2025-06-04 | F0584, F0641, F0880, F0925 | 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. / Ensure each resident receives an accurate assessment. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-06-04 | F0550, F0609, F0684, F0686, F0755, F0840, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-02-03 | F0550, F0558, F0636, F0641 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. | E |
| 2023-02-03 | F0559, F0584, F0600, F0603, F0610, F0638, F0657, F0677, F0679, F0684, F0692, F0732, F0740, F0761, F0812, F0835, F0842, F0921 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Respond appropriately to all alleged violations. / Assure that each resident’s assessment is updated at least once every 3 months. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Post nurse staffing information every day. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2018-11-05 | F0760 | Ensure that residents are free from significant medication errors. | K |
| 2018-11-05 | F0684, F0692, F0809, F0812 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2018-11-05 | F0565, F0604, F0623, F0625, F0641, F0655, F0656, F0657, F0689, F0730, F0755, F0756, F0757, F0759, F0842, F0883 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
How is AUTUMN LAKE HEALTHCARE AT SPA CREEK staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.46639 | 3.87381 |
| Total nursing staff turnover (%) | 52.5 | 40.2 |
| Average number of residents per day | 116.0 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT SPA CREEK, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT SPA CREEK is registered with CMS as For profit - Limited Liability company, operates under the legal business name 35 MILKSHAKE OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35 MILKSHAKE HOLDCO LLC | since 05/01/2021 |
| INDIRECT OWNERSHIP INTEREST | STERN, ARYEH | since 05/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | MCINERNEY, ELLEN, NEEL, ELIZABETH, SCHWARTZ, MARK | since 05/01/2021 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | EIDLISZ, SOLOMON, GLUCK, RIVKA | since 03/13/2025 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, MCINERNEY, ELLEN, NEEL, ELIZABETH | since 05/01/2021 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT SPA CREEK?