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

AUTUMN LAKE HEALTHCARE AT CATONSVILLE

CATONSVILLE, MD · 136 certified beds · Last Life Safety survey August 18, 2025

CMS Certification Number 215097 · first certified August 1974

Ownership

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

  • Ownership changed May 1, 2021 (change of ownership)from 16 FUSTING AVENUE OPERATIONS LLC
33
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within MD

33 citations — more than 80% 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

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

The latest survey found 9 citations; the earlier surveys in the window averaged 8. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was August 2025. 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.

Emergency preparedness

1 of the 33 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

14 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 33 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-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0922 Have enough backup water supply for essential areas of the nursing home.

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 facility33MD median22National median11
Citations on file over three years, compared
MeasureCitations
This facility33
Median facility in MD22
Median facility nationally11

Survey history

Citations at each Life Safety survey
122018-12102023-0322023-0892025-08
Citations at each Life Safety survey
Survey dateCitations
December 21, 201812
March 24, 202310
August 21, 20232
August 18, 20259

Most-cited tags

Most-cited tags at this facility
K-02114K-07413K-02232K-03632K-02812K-07122K-02001K-03641
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.42025-08-18
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.32023-08-21
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22025-08-18
K-0363Install corridor and hallway doors that block smoke.22025-08-18
K-0281Install proper backup exit lighting.22023-03-24
K-0712Have simulated fire drills held at unexpected times.22025-08-18
K-0200Meet other general requirements.12018-12-21
K-0364Install properly constructed windows in hallway walls or doors.12025-08-18

What the citations cover

Citations by CMS category
  • Egress Deficiencies 11
  • Smoke Deficiencies 9
  • Miscellaneous Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 3
Citations by CMS category
CategoryCitations
Egress Deficiencies11
Smoke Deficiencies9
Miscellaneous Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Construction Deficiencies1
Services Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

August 18, 2025 — 9 citations

Citations issued on August 18, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 22, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 22, 2025)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (October 22, 2025)
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 (October 22, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 22, 2025)
K-0364Install properly constructed windows in hallway walls or doors.Deficient, Provider has date of correction (October 22, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 22, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 22, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 22, 2025)

August 21, 2023 — 2 citations

Citations issued on August 21, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 18, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 18, 2023)

March 24, 2023 — 10 citations

Citations issued on March 24, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 19, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 19, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 19, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 19, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 19, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (April 19, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 19, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 19, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 19, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 19, 2023)

December 21, 2018 — 12 citations

Citations issued on December 21, 2018
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (April 5, 2019)
K-0200Meet other general requirements.Deficient, Provider has date of correction (April 5, 2019)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 5, 2019)
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 (April 5, 2019)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 5, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (April 5, 2019)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 5, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 5, 2019)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 5, 2019)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 5, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 5, 2019)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (April 5, 2019)

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