AUTUMN LAKE HEALTHCARE AT OAKVIEW
AUTUMN LAKE HEALTHCARE AT OAKVIEW, in SILVER SPRING, Maryland, holds 138 certified beds and has been certified for Medicare and Medicaid since 2002-01-28, averaging 127.3 residents a day.
Has AUTUMN LAKE HEALTHCARE AT OAKVIEW been cited for violations?
CMS lists 60 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT OAKVIEW since 2019-10-25, 43 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 2025-08-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-08-05 | F0641, F0812 | Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-08-05 | F0561, F0568, F0585, F0600, F0602, F0609, F0689, F0726, F0806, F0921, F0924 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Put firmly secured handrails on each side of hallways. | D |
| 2023-11-03 | F0801, F0803 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / 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. | F |
| 2023-11-03 | F0584, F0623, F0641, F0655, F0656, F0657, F0679, F0756 | 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 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. / 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. / Provide activities to meet all resident's needs. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E |
| 2023-11-03 | F0578, F0580, F0609, F0610, F0625, F0637, F0645, F0686, F0689, F0692, F0693, F0726, F0757, F0758, F0812, F0842, F0867, F0880, F0919, F0947 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Assess the resident when there is a significant change in condition / PASARR screening for Mental disorders or Intellectual Disabilities / 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 enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / 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. / 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. / 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. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2019-10-25 | F0658, F0684, F0689, F0698, F0758, F0926 | Ensure services provided by the nursing facility meet professional standards of quality. / 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, appropriate dialysis care/services for a resident who requires such services. / 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. / Have policies on smoking. | E |
| 2019-10-25 | F0584, F0585, F0623, F0625, F0656, F0657, F0700, F0740, 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. / 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. / 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. / 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. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program. | D |
| 2019-10-25 | F0838 | 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. | C |
| 2019-10-25 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
How is AUTUMN LAKE HEALTHCARE AT OAKVIEW staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.38679 | 3.87381 |
| Total nursing staff turnover (%) | 27.5 | 40.2 |
| Average number of residents per day | 127.3 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT OAKVIEW, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT OAKVIEW is registered with CMS as For profit - Limited Liability company, operates under the legal business name OAKVIEW OPERATOR, LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | OAKVIEW HOLDCO LLC | since 08/01/2019 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | OAKRIVER HOLDINGS LLC, OAKVIEW AS HOLDINGS LLC | since 08/01/2019 |
| 5% OR GREATER MORTGAGE INTEREST | OAKVIEW SNF REALTY LLC | since 08/01/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | EVERITT, FORREST, KABA, SUELA, SCHWARTZ, MARK | since 07/01/2022 |
| ADP OF THE SNF | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, OAKRIVER HOLDINGS LLC, OAKVIEW AS HOLDINGS LLC, OAKVIEW SNF REALTY LLC, EVERITT, FORREST, KABA, SUELA, STERN, ARYEH | since 07/01/2022 |
Were you or a family member harmed at AUTUMN LAKE HEALTHCARE AT OAKVIEW?