AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS
AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS is a 180-bed nursing home in CLINTON, Maryland. CMS has certified it for Medicare and Medicaid since 1987-06-04. It averages 170.4 residents a day.
What harm was found in the violations cited at AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS?
CMS lists 35 health-inspection deficiencies for AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS since 2019-12-10, 30 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 2026-04-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-10 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2026-04-10 | F0559, F0583, F0584, F0628, F0657, F0679, F0684, F0693, F0711, F0756, F0757, F0761, F0812, F0880, F0917, F0919, F0925 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2026-01-08 | F0552, F0655, F0657, F0658 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-10-16 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-02-20 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-02-20 | F0609, F0610, F0655, F0812, F0842, F0880 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Provide and implement an infection prevention and control program. | D |
| 2019-12-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2019-12-10 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2019-12-10 | F0677, F0695, F0880 | 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. / Provide and implement an infection prevention and control program. | D |
How is AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.47615 | 3.87381 |
| Total nursing staff turnover (%) | 52.7 | 40.2 |
| Average number of residents per day | 170.4 | 105.7 |
Who owns AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS, and what chain is it in?
AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS is registered with CMS as For profit - Limited Liability company, operates under the legal business name 7520 SURRATTS OPCO LLC and belongs to the AUTUMN LAKE HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7520 SURRATTS 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 | ACCURATE STAFFING LLC, BRAND SONNENSCHINE LLP, MUO, OFO, SCHWARTZ, MARK | since 05/01/2021 |
| 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, MUO, OFO, SEWARALTHAHAB, KAMAL | since 05/24/2025 |
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