Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AUTUMN LAKE HEALTHCARE AT BRIDGEPARK
BALTIMORE, MD · 106 certified beds · Last Life Safety survey November 10, 2021
CMS Certification Number 215195 · first certified July 1989
Ownership
Operated by AUTUMN LAKE HEALTHCARE · For profit - Corporation
- Ownership changed May 1, 2018 (change of ownership)from LIBERTY LEASING CO., LLC
Position within MD
10 citations — more than 7% of the 221 certified nursing homes in MD. Compared within MD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys on file averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (February 2023 to October 2025). Most MD facilities have been surveyed by December 2026. This facility’s last Life Safety survey was November 2021. Facilities in MD are typically surveyed 16–48 months after the last one (median 23), measured over 307 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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Physical environment (health survey)
8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0908 Keep all essential equipment working safely.
- F-0926 Have policies on smoking.
How that compares
Compared with the median facility in MD, and nationally. Surveyors differ markedly between states, so the MD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in MD | 23 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 14, 2017 | 0 |
| November 29, 2018 | 7 |
| November 10, 2021 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 1 | 2018-11-29 |
| K-0364 | Install properly constructed windows in hallway walls or doors. | 1 | 2021-11-10 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2021-11-10 |
| K-0754 | Provide properly sized and located linen or trash receptacles. | 1 | 2018-11-29 |
| K-0908 | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | 1 | 2021-11-10 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2018-11-29 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2018-11-29 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2018-11-29 |
What the citations cover
- Miscellaneous Deficiencies 3
- Smoke Deficiencies 3
- Egress Deficiencies 2
- Services Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 3 |
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 2 |
| Services Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
November 10, 2021 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0364 | Install properly constructed windows in hallway walls or doors. | Deficient, Provider has date of correction (December 16, 2021) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (December 16, 2021) |
| K-0908 | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Deficient, Provider has date of correction (December 16, 2021) |
November 29, 2018 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (January 24, 2019) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (January 24, 2019) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (January 24, 2019) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 15, 2019) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (January 24, 2019) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (January 24, 2019) |
| K-0754 | Provide properly sized and located linen or trash receptacles. | Deficient, Provider has date of correction (January 24, 2019) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.