Nursing home report
BURTONSVILLE, MD · Medicare-certified · 145 beds
AUTUMN LAKE HEALTHCARE AT OAK MANOR has an overall 4-star rating, with 4 stars for health inspections and quality measures and 3 stars for staffing. It reports 3.64 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $11,381 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.6446 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6446.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
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.
F-Tag 710 — 42 CFR §483.30 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2020 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited October 2020 — limited pattern, potential for harm.
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2019 — limited pattern, potential for harm.
F-Tag 684 — 42 CFR §483.25 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $11,381 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 11 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $11,381 in total fines.
Federal fine
Jul 1, 2025
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.
