AUTUMN LAKE HEALTHCARE AT ALICE MANOR
AUTUMN LAKE HEALTHCARE AT ALICE MANOR is a 105-bed nursing home in BALTIMORE, Maryland. CMS has certified it for Medicare and Medicaid since 1990-02-01. It averages 98.7 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT ALICE MANOR?
CMS lists 55 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT ALICE MANOR since 2018-09-12, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-17.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-17 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D |
| 2025-05-01 | F0725, F0812 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-05-01 | F0584, F0585, F0689, F0697, F0728, F0755, F0757, F0791, F0880, F0726 | 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. / 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. | D |
| 2024-11-20 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-11-20 | F0584, F0609, F0610 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | E |
| 2024-11-20 | F0600, F0623, F0641, F0656, F0684, F0686, F0689, F0742, F0758, F0773 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / 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. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
| 2021-06-14 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F |
| 2021-06-14 | F0584, F0622, F0624, F0641, F0657, F0804, F0842, F0880 | 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Prepare residents for a safe transfer or discharge from the nursing home. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2021-06-14 | F0645, F0656, F0677, F0684, F0686, F0688, F0758, F0790, F0924, F0943 | PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Put firmly secured handrails on each side of hallways. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2021-06-14 | F0559, F0623, F0625, F0732 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / 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. / Post nurse staffing information every day. | C |
| 2018-09-12 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2018-09-12 | F0550, F0583, F0761, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential. / 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. | D |
How is AUTUMN LAKE HEALTHCARE AT ALICE MANOR staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.18197 | 3.87381 |
| Total nursing staff turnover (%) | 69.7 | 40.2 |
| Average number of residents per day | 98.7 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT ALICE MANOR, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT ALICE MANOR is registered with CMS as For profit - Limited Liability company, operates under the legal business name ALICE OPERATOR LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | ALICE PARENT LLC | since 09/01/2014 |
| 5% OR GREATER MORTGAGE INTEREST | ALICE BUILDING II, LLC | since 09/01/2014 |
| CORPORATE OFFICER | SCHWARTZ, MARK | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, SCHWARTZ, MARK, SERASKY PRICE, SHOLOM LEIB | since 06/15/2021 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, ALICE BUILDING II, LLC, BRAND SONNENSCHINE LLP, RIZQUI, IBRAHIM, SERASKY PRICE, SHOLOM LEIB, STERN, ARYEH | since 01/01/2021 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT ALICE MANOR?