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
3 of 5 overall
AUTUMN LAKE HEALTHCARE AT ALICE MANOR has an overall 3-star rating. The main concern is staffing: it has a 1-star staffing rating and reports 3.26 nurse hours per resident per day, below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2574 hrs/resident/day
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2574.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.17
- Nurse aides
- 1.89
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 72%
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
13.9%7.7%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
4.2%1.7%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
5.8%8.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
30.3%25%Improving
Residents whose ability to walk got worse
—7.8%—
Long-stay residents on antianxiety or sleep medication
3.5%14.8%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
23.1%17.9%Improving
Residents with depressive symptoms
64.3%70%Worsening
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
94.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—77%—
Short-stay residents given the pneumonia vaccine
87.7%97.8%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 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 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 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 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- 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 · 3 stars avg
- Occupancy
- 94.8 residents on an average day (90% 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.