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Nursing home report

AUTUMN LAKE HEALTHCARE AT OAK MANOR

BURTONSVILLE, MD · Medicare-certified · 145 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

AUTUMN LAKE HEALTHCARE AT OAK MANOR has an overall rating of 4 out of 5 stars. Its quality measures are strong at 5 stars, but staffing is 3 stars with reported nurse staffing below the federal benchmark (3.63 vs. 4.1 hours per resident per day), and it has had $11,381 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.6262 hrs/resident/day

Quality measures

Last inspection: May 29, 2026Penalties, last 24 months: $11,381recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6262.

Staffing detail

Registered nurses
0.64
Licensed practical nurses
1.12
Nurse aides
1.87
Weekend nursing
3.33

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 47%

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

1.5%4.5%Worsening

Residents with a fall causing major injury

0%1.1%Worsening

Residents with pressure ulcers (bedsores)

9.1%6.6%Improving

Residents with a urinary tract infection

0%1.1%Worsening

Residents who lost too much weight

7.4%9.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

32.5%31.6%Improving

Residents whose ability to walk got worse

28.8%44.7%Worsening

Long-stay residents on antianxiety or sleep medication

5.2%4.4%Improving

Short-stay residents newly given an antipsychotic

0.5%0%Improving

Residents with a long-term catheter

0%0.7%Worsening

Residents with new or worsening incontinence

27.7%26%Improving

Residents with depressive symptoms

7.8%5.1%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

98%100%Improving

Short-stay residents given the seasonal flu vaccine

85.1%

Short-stay residents given the pneumonia vaccine

83.7%89%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 569 — 42 CFR §483.10 — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 887 — 42 CFR §483.80 — S/S: E

The nursing home failed to get a doctor’s admission order and make sure the resident was under a doctor’s care. Cited February 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 710 — 42 CFR §483.30 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. PENALTY

    A federal fine of $11,381 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $11,381 in total fines.

  • Federal fine

    Jul 1, 2025

    $11,381

Operator & ownership

Recent ownership change · Aug 1, 2022

Now operated by Autumn Lake Healthcare at Oak Manor, previously Oak Manor Center for Rehabilitation and Healthcare.

Ownership
For profit - Limited Liability company
Chain
Part of AUTUMN LAKE HEALTHCARE · 60 homes · 2.9 stars avg
Occupancy
126.9 residents on an average day (88% of 145 beds)
Resident voice
Resident council
Medicare history
Certified for 27 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.