The nursing home failed to ensure residents were free from significant medication errors. Cited November 2022 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
AUTUMN LAKE HEALTHCARE AT BALLENGER CREEK
FREDERICK, MD · Medicare-certified · 130 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. This facility has a 1-star health inspection rating, 3-star staffing, and 5-star quality measures; reported nurse staffing is 3.80 hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.8047 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8047.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 1.12
- Nurse aides
- 2.00
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 35%
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
9.6%6.3%Improving
Residents with a fall causing major injury
1.4%5.3%Worsening
Residents with pressure ulcers (bedsores)
7%7.1%No change
Residents with a urinary tract infection
2.7%0%Improving
Residents who lost too much weight
10.1%5.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.9%30.3%Worsening
Residents whose ability to walk got worse
—41.9%—
Long-stay residents on antianxiety or sleep medication
13%15.5%Worsening
Short-stay residents newly given an antipsychotic
0.6%0%Improving
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
32.4%19.3%Improving
Residents with depressive symptoms
22.2%20%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
83%98.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited November 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 25 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · May 1, 2021
Now operated by Autumn Lake Healthcare at Ballenger Creek, previously Ballenger Creek Center.
- Ownership
- For profit - Corporation
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 2.9 stars avg
- Occupancy
- 111.8 residents on an average day (86% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 56 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.