AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK
AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK is a 130-bed nursing home in FREDERICK, Maryland. CMS has certified it for Medicare and Medicaid since 1969-12-05. It averages 111.8 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK?
CMS lists 65 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK since 2018-11-19, 31 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 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-06-04 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-11-20 | F0585, F0609, F0610, F0755 | 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-06-30 | F0812, F0887 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F |
| 2025-06-30 | F0610, F0637, F0641, F0656, F0677, F0679, F0760, F0842, F0880 | Respond appropriately to all alleged violations. / Assess the resident when there is a significant change in condition / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure that residents are free from significant medication errors. / 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 |
| 2025-06-30 | F0557, F0558, F0578, F0584, F0585, F0609, F0636, F0657, F0686, F0689, F0697, F0740, F0756, F0908 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 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 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 safe, appropriate pain management for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Keep all essential equipment working safely. | D |
| 2022-11-15 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2022-11-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2022-11-15 | F0607, F0730 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Observe each nurse aide's job performance and give regular training. | F |
| 2022-11-15 | F0656, F0657, F0677, F0679, F0684 | 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. / 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. | E |
| 2022-11-15 | F0578, F0585, F0600, F0610, F0641, F0655, F0680, F0711, F0756, F0758, F0842, F0865, F0880 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / 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 / Ensure the activities program is directed by a qualified professional. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. | D |
| 2022-11-15 | F0732 | Post nurse staffing information every day. | C |
| 2022-11-15 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | B |
| 2018-11-19 | F0757, F0867 | Ensure each resident’s drug regimen must be free from unnecessary drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2018-11-19 | F0641, F0656, F0657, F0684, F0689, F0761, F0842, F0880 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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. | D |
How is AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.80470 | 3.87381 |
| Total nursing staff turnover (%) | 32.7 | 40.2 |
| Average number of residents per day | 111.8 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK is registered with CMS as For profit - Corporation, operates under the legal business name 347 BALLENGER OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | 347 BALLENGER HOLDCO LLC | since 05/01/2021 |
| INDIRECT OWNERSHIP INTEREST | STERN, ARYEH | since 05/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BENNETT, ALLISON, SCHWARTZ, MARK, SHAH, HEMEN | since 05/01/2021 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | EIDLISZ, SOLOMON, GLUCK, RIVKA | since 03/26/2025 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, BENNETT, ALLISON, SHAH, HEMEN | since 05/01/2021 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK?