Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Lake Healthcare At Parkville during CMS and state inspections, most recent first.
A resident with multiple comorbidities and cognitive impairment was admitted with several pressure ulcers, but weekly skin assessments were not consistently completed and documentation was missing or incomplete. Additionally, a physician-ordered wound treatment was not signed off as administered on several occasions, and treatment for a specific wound was delayed. The DON confirmed that required assessments and documentation were not performed as expected.
Facility staff did not promptly notify a resident's representative after a significant change in the resident's condition, including the initiation of oxygen therapy and new diagnostic orders. The representative only learned of the change during a visit, and documentation confirmed that notification was delayed until after the event.
A resident receiving Hospice services did not have a person-centered care plan that addressed their specific needs, preferences, or end-of-life wishes. The care plan included only general interventions and lacked details about the resident's coping strategies, support system, and preferred comfort measures. Staff confirmed that the plan did not reflect individualized information necessary for effective Hospice care.
A resident with type 1 diabetes did not receive multiple scheduled doses of prescribed insulin because the medication was not available in the facility. Staff documented the missed administrations, notified the NP and MD, and monitored the resident for symptoms of hyperglycemia. There was also a documentation inconsistency where a dose was marked as given despite records showing the medication was unavailable. Facility leadership was made aware of these issues during the survey.
Staff did not maintain complete and accurate medical records for a resident on Hospice, failing to document required notifications to the Hospice provider and the resident's representative after a decline in condition and at the time of death. Progress notes lacked clarity regarding family presence at death and did not include an assessment supporting the determination of death.
Failure to Complete Skin Assessments and Follow Wound Care Orders
Penalty
Summary
The facility failed to accurately complete a resident's skin assessment sheet and did not follow a physician's order for wound treatment. Upon admission, the resident, who was cognitively impaired, immunocompromised, and had multiple comorbidities, was documented as having several pressure ulcers. However, subsequent weekly skin assessments were not consistently completed, with missing or incomplete documentation on several dates. Additionally, the care plan listed multiple areas of impaired skin integrity, but the skin assessment sheets did not reflect all wounds, and some wound areas were not documented at all during certain assessments. Review of the Treatment Administration Record (TAR) revealed that a prescribed antiseptic wound medication was not signed off as administered on multiple occasions, and treatment for a left buttock wound was not ordered until several days after admission. The DON confirmed that skin assessments should be completed weekly and that nurses are responsible for signing off treatments, but acknowledged that these processes were not followed. These deficiencies were identified through record reviews and staff interviews during the survey.
Failure to Notify Resident Representative of Significant Change in Condition
Penalty
Summary
Facility staff failed to notify a resident's representative following a significant change in the resident's condition and a change in the treatment plan. The resident, who had multiple diagnoses including stage 4 kidney disease, diabetes, hypertension, atrial fibrillation, and cellulitis, experienced acute shortness of breath with an oxygen saturation of 68%. The nurse administered oxygen and a nebulizer treatment, and the physician was notified, who then ordered labs and a chest x-ray. However, documentation showed that the resident's representative was not informed of these changes until nearly two days later, despite the initiation of new treatments and diagnostic procedures. The delay in notification was confirmed through medical record review, which indicated that the representative was only contacted after the representative discovered the resident on oxygen during a visit. The nurse later apologized for not notifying either of the resident's representatives about the change in condition. There was no documentation to show that the representative was informed at the time of the significant health status change or when the treatment plan was altered.
Failure to Develop Individualized Hospice Care Plan
Penalty
Summary
The facility failed to develop a person-centered Hospice plan of care that addressed the individualized needs and preferences of a resident receiving Hospice services. Medical record review showed that although a Hospice Plan of Care was created, it contained only general interventions and did not specify the resident's unique care needs, coping strategies, wishes, or preferences for end-of-life care. The plan also lacked details about which family members or friends the resident wanted involved in their support system and did not document specific comfort measures or end-of-life choices for staff to implement. During an interview, the Director of Social Services, who serves as the facility's Hospice Liaison, and the Administrator confirmed that the care plan did not identify the resident's specific end-of-life wishes or preferences. The surveyor pointed out these omissions, and both staff members acknowledged that the plan failed to include individualized information necessary for providing person-centered Hospice care.
Failure to Provide Timely Insulin Administration Due to Medication Unavailability
Penalty
Summary
A deficiency occurred when the facility failed to ensure that prescribed insulin medications were available and administered in a timely manner to a resident with type 1 diabetes. Upon admission following an acute hospitalization, the resident had orders for both long-acting and fast-acting insulin, including Basaglar and Novolog, to be administered at specific times and per sliding scale. Documentation in the electronic Medication Administration Record (eMAR) showed that several scheduled doses were not administered, with staff using a code indicating the medication was not given and referencing nurses' notes for further explanation. Review of the eMAR and associated progress notes revealed that the insulin was not available in the facility at the required times, resulting in missed doses. Staff documented that they were awaiting delivery from the pharmacy and that the nurse practitioner and physician were notified of the unavailability. Blood sugar checks during this period showed elevated glucose levels, and staff continued to monitor the resident for symptoms of hyperglycemia. Despite these actions, the prescribed insulin was not administered as ordered due to the lack of medication on hand. Additionally, there was a discrepancy in the documentation, as one administration time was marked as given despite other records indicating the insulin was not available. The facility's leadership, including the Nursing Home Administrator and Director of Nursing, were informed of the missed administrations and the documentation inconsistency. No further comments were provided by the facility leadership at the time of the survey.
Incomplete Documentation and Notification for Hospice Resident
Penalty
Summary
Facility staff failed to maintain complete and accurately documented medical records for a resident receiving Hospice services. The resident's medical record showed an instance of low blood pressure with no documentation that the resident's representative or Hospice provider was notified, as required by the facility's contract. Additionally, when the resident expired, the progress note did not clearly indicate whether the family was present at the time of death or arrived afterward, nor did it include an assessment supporting the determination of death. There was also no documentation of when, if, or how the Hospice provider was notified of the resident's death. These documentation gaps were confirmed by the Administrator and Director of Nursing.
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Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Baltimore
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lake Healthcare At Loch Raven | 0 mi | — | 34 | 0 |
| Autumn Lake Healthcare At Perring Parkway | 1.7 mi | — | 17 | 0 |
| Towson Rehabilitation And Healthcare Center | 1.9 mi | — | 18 | 0 |
| Edenwald | 2.2 mi | — | 3 | 0 |
| Holly Hill Healthcare Center | 2.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.