The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS
CLINTON, MD · Medicare-certified · 180 beds
In good standing
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Health inspections and quality measures are both 4 of 5 stars, but staffing is low at 1 of 5 stars with reported nurse staffing below the federal benchmark (3.42 vs. 4.1 hours/resident/day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4175 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4175.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.09
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.1%Steady
Residents with a fall causing major injury
1.8%Worsening
Residents with pressure ulcers (bedsores)
5.6%Improving
Residents with a urinary tract infection
1.1%Improving
Residents who lost too much weight
3.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.7%Improving
Residents whose ability to walk got worse
23.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
11.7%Worsening
Short-stay residents newly given an antipsychotic
0.3%Improving
Residents with a long-term catheter
0.1%Improving
Residents with new or worsening incontinence
22.1%Improving
Residents with depressive symptoms
2.5%Improving
Long-stay residents given the seasonal flu vaccine
89.7%Steady
Long-stay residents given the pneumonia vaccine
90.9%Improving
Short-stay residents given the seasonal flu vaccine
53.5%Steady
Short-stay residents given the pneumonia vaccine
80.4%Improving
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2019 — limited pattern, potential for harm.
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F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2018 — limited pattern, potential for harm.
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F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited July 2018 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 3 stars avg
- Occupancy
- 172.8 residents on an average day (96% of 180 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.