The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
AUTUMN LAKE HEALTHCARE AT ALICE MANOR
BALTIMORE, MD · Medicare-certified · 105 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Autumn Lake Healthcare at Alice Manor has a 3-star overall rating. It has a 1-star staffing rating with reported nurse staffing below the federal benchmark (3.18 vs. 4.1 hours per resident per day), no fines in the last 24 months, and recent inspection citations related to medication errors, pharmacist review, and having enough nursing staff on each shift.
Facility ratings
Health inspections
Staffing
3.182 hrs/resident/day
Quality measures
Last inspection: April 17, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.182.
Staffing detail
- Registered nurses
- 0.11
- Licensed practical nurses
- 1.19
- Nurse aides
- 1.88
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.6%15.2%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
6.1%1.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.2%11.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.7%12.3%Improving
Residents whose ability to walk got worse
—10.3%—
Long-stay residents on antianxiety or sleep medication
2.4%14.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33%33.9%Worsening
Residents with depressive symptoms
78.8%71.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
94.3%98.8%Improving
Short-stay residents given the seasonal flu vaccine
—77%—
Short-stay residents given the pneumonia vaccine
82.2%92.9%Improving
What the inspectors found
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited June 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
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- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 2.9 stars avg
- Occupancy
- 98.7 residents on an average day (94% of 105 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.