AUTUMN LAKE HEALTHCARE AT BIRCH MANOR
AUTUMN LAKE HEALTHCARE AT BIRCH MANOR, in SYKESVILLE, Maryland, holds 118 certified beds and has been certified for Medicare and Medicaid since 1981-11-01, averaging 105.6 residents a day.
Has AUTUMN LAKE HEALTHCARE AT BIRCH MANOR been cited for violations?
CMS lists 85 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT BIRCH MANOR since 2018-08-03, 25 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-20.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-20 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2025-06-11 | 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 |
| 2025-06-11 | F0565, F0656, F0679, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Provide and implement an infection prevention and control program. | E |
| 2025-06-11 | F0568, F0584, F0585, F0609, F0610, F0628, F0641, F0684, F0689, F0695, F0791, F0803, F0812, F0842, F0867, F0868, F0906 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide or obtain dental services for each resident. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | D |
| 2024-11-04 | 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. | E |
| 2024-11-04 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2021-06-09 | F0655, F0657, F0842 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2021-06-09 | F0550, F0580, F0582, F0583, F0584, F0622, F0623, F0624, F0656, F0677, F0684, F0688, F0692, F0757, F0761, F0806, F0838, F0923, F0943 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Keep residents' personal and medical records private and confidential. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home. / 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 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. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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. / Have enough outside ventilation via a window or mechanical ventilation, or both. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2018-08-03 | F0655, F0656, F0657, F0842, F0908 | 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. | F |
| 2018-08-03 | F0580, F0584, F0641, F0684, F0758, F0761, F0812, F0868, F0881 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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 appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Implement a program that monitors antibiotic use. | E |
| 2018-08-03 | F0553, F0558, F0559, F0568, F0609, F0610, F0622, F0623, F0624, F0640, F0642, F0679, F0688, F0689, F0690, F0692, F0711, F0744, F0756, F0757, F0919 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure a qualified health professional conducts resident assessments. / Provide activities to meet all resident's needs. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2018-08-03 | F0625, F0732, F0806 | 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | C |
How is AUTUMN LAKE HEALTHCARE AT BIRCH MANOR staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.42181 | 3.87381 |
| Total nursing staff turnover (%) | 35.9 | 40.2 |
| Average number of residents per day | 105.6 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT BIRCH MANOR, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT BIRCH MANOR is registered with CMS as For profit - Limited Liability company, operates under the legal business name 7309 SECOND AVENUE OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7309 SECOND AVENUE HOLDCO LLC | since 08/01/2022 |
| 5% OR GREATER MORTGAGE INTEREST | 7309 SECOND AVENUE PROPCO LLC | since 08/01/2022 |
| CORPORATE OFFICER | SCHWARTZ, MARK | since 08/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | DAVE, MITUL, KENDELL, ZINA, SCHWARTZ, MARK | since 01/01/2021 |
| ADP OF THE SNF | 7309 SECOND AVENUE HOLDCO LLC, 7309 SECOND AVENUE PROPCO LLC, ACCURATE STAFFING LLC, AS FAMILY MD4 HOLDINGS LLC, BRAND SONNENSCHINE LLP, M MEISELS FAMILY HOLDINGS LLC, DAVE, MITUL, KENDELL, ZINA | since 07/01/2024 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT BIRCH MANOR?