AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS
AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS is a 98-bed nursing home in CAMBRIDGE, Maryland. CMS has certified it for Medicare and Medicaid since 1990-07-25. It averages 94.3 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS?
CMS lists 49 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS since 2019-03-29, 34 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-12-19 | F0812, F0923 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have enough outside ventilation via a window or mechanical ventilation, or both. | F |
| 2025-12-19 | F0558, F0584, F0880 | Reasonably accommodate the needs and preferences of each 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. / Provide and implement an infection prevention and control program. | E |
| 2025-12-19 | F0567, F0610, F0628, F0656, F0658, F0730, F0756, F0804, F0837, F0908, F0919 | Honor the resident's right to manage his or her financial affairs. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-03-05 | 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 |
| 2024-03-05 | F0641, F0657, F0677, F0695, F0756, F0757, F0758, F0761, F0842, F0880, F0552, F0580, F0600, F0609, F0610, F0710 | 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 safe and appropriate respiratory care for a resident when needed. / 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. / 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. / 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. / Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D |
| 2019-03-29 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2019-03-29 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E |
| 2019-03-29 | F0550, F0610, F0623, F0641, F0656, F0684, F0726, F0730, F0755, F0759, F0808, F0842, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / 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. / 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. / 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 medication error rates are not 5 percent or greater. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / 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. | D |
Why was AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-12-09 | Fine | $14,082 |
| 2024-05-02 | Fine | $36,797 |
How is AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS staffed?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.98016 | 3.87381 |
| Total nursing staff turnover (%) | 39.0 | 40.2 |
| Average number of residents per day | 94.3 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS is registered with CMS as For profit - Limited Liability company, operates under the legal business name 525 GLENBURN OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | 525 GLENBURN HOLDCO LLC | since 05/01/2021 |
| INDIRECT OWNERSHIP INTEREST | STERN, ARYEH | since 05/01/2021 |
| CORPORATE OFFICER | SCHWARTZ, MARK | since 05/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BORODULIA, NICHOLAS, KRAMER, AMANDA, SCHWARTZ, MARK | since 03/18/2024 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | EIDLISZ, SOLOMON, GLUCK, RIVKA | since 03/27/2025 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, BORODULIA, NICHOLAS, KRAMER, AMANDA | since 03/18/2024 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT CHESAPEAKE WOODS?