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
Needs attention
For-profitChain member
1 of 5 overall
1 of 5 stars overall, with a 1-star health inspection and a lowest-overall-rating flag. Staffing is 3.77 hours per resident per day, below the federal benchmark of 4.1, while quality measures are 4 stars and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7654 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7654.
Staffing detail
- Registered nurses
- 0.59
- Licensed practical nurses
- 1.16
- Nurse aides
- 2.01
- Weekend nursing
- 3.46
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 39%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8%Improving
Residents with a fall causing major injury
2%Worsening
Residents with pressure ulcers (bedsores)
6.7%Worsening
Residents with a urinary tract infection
1%Improving
Residents who lost too much weight
5.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
27.4%Improving
Residents whose ability to walk got worse
48.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
11.7%Worsening
Short-stay residents newly given an antipsychotic
0.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
27.6%Worsening
Residents with depressive symptoms
11.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.7%Steady
Short-stay residents given the seasonal flu vaccine
94.4%Steady
Short-stay residents given the pneumonia vaccine
84.2%Worsening
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.
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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.
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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
- Ownership
- For profit - Corporation
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 3 stars avg
- Occupancy
- 116.3 residents on an average day (89% 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.