Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AUTUMN LAKE HEALTHCARE AT LOCH RAVEN

BALTIMORE, MD · 113 certified beds · Last Life Safety survey April 24, 2026

CMS Certification Number 215090 · first certified April 1973

Ownership

Operated by AUTUMN LAKE HEALTHCARE · For profit - Limited Liability company

  • Ownership changed May 1, 2021 (change of ownership)from 8720 EMGE ROAD OPERATIONS LLC
26
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within MD

26 citations — more than 60% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 8.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2027 — about 12 months from now. This facility’s last Life Safety survey was April 2026. Facilities in MD are typically surveyed 17–59 months after the last one (median 30), measured over 283 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 three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

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 26 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.

How that compares

Citations on file over three years

Compared with the median facility in MD, and nationally. Surveyors differ markedly between states, so the MD figure is the meaningful one.

This facility26MD median22National median11
Citations on file over three years, compared
MeasureCitations
This facility26
Median facility in MD22
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-01202023-0632025-0912026-04
Citations at each Life Safety survey
Survey dateCitations
January 10, 20192
June 13, 202320
September 11, 20253
April 24, 20261

Most-cited tags

Most-cited tags at this facility
K-07542K-07122K-09142K-03452K-03531K-05311K-07811K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0754Provide properly sized and located linen or trash receptacles.22023-06-13
K-0712Have simulated fire drills held at unexpected times.22025-09-11
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22025-09-11
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-09-11
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-06-13
K-0531Have elevators that firefighters can control in the event of a fire.12026-04-24
K-0781Have restrictions on the use of portable space heaters.12023-06-13
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-06-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Miscellaneous Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Miscellaneous Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies3
Services Deficiencies2
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 24, 2026 — 1 citation

Citations issued on April 24, 2026
TagWhat the surveyor checksStatus
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 4, 2026)

September 11, 2025 — 3 citations

Citations issued on September 11, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 6, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 6, 2026)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 6, 2026)

June 13, 2023 — 20 citations

Citations issued on June 13, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 1, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 1, 2023)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 1, 2023)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (September 30, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 30, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 30, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 30, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 30, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (September 30, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 1, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 30, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 1, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 30, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 1, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 1, 2023)
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (August 1, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 1, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (August 1, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 1, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 1, 2023)

January 10, 2019 — 2 citations

Citations issued on January 10, 2019
TagWhat the surveyor checksStatus
K-0754Provide properly sized and located linen or trash receptacles.Deficient, Provider has date of correction (March 21, 2019)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (March 21, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.