PlainNursing
CMS Nursing Home Compare · August 2026

Autumn Lake Healthcare at Arlington West

3939 Penhurst Avenue, Baltimore, MD 21215

Autumn Lake Healthcare at Arlington West, a 82-bed for profit - limited liability company nursing facility in Baltimore, MD, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #182 of 219 rated homes in MD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4106649535

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2 / 5
Below average · CMS overall · nat'l 3.0
#182 of 219
In-state rank among rated MD homes
3.61
Below average · nurse hrs/day · nat'l 3.86
45
Inspection findings

The verdict

Autumn Lake Healthcare at Arlington West, a 82-bed for profit - limited liability company nursing facility in Baltimore, MD, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #182 of 219 rated homes in MD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

2 / 5
CMS overall · national 3.0
#182 of 219
In-state rank among rated MD homes
3.61
Nurse hrs/resident-day · national 3.86
45
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 221 MD nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
215349
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
82
Residents
73
In Hospital
No
County
Baltimore City
Last Inspection
Jun 17, 2025
Abuse citation on record

Staffing Data

How the 3.61 total nursing hours per resident-day are staffed:

RN Hours
0.39 (nat'l avg: 0.69)
LPN Hours
1.36
CNA Hours
1.86
Total Nursing Hours
3.61 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
43.8%
RN Turnover
33.3%

What the CMS Record Reveals About Autumn Lake Healthcare at Arlington West

According to CMS Nursing Home Compare, Autumn Lake Healthcare at Arlington West ranks #182 of 219 rated nursing homes in MD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Autumn Lake Healthcare at Arlington West operates 82 certified beds in Baltimore, MD with approximately 73 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 3★).

The inspection file contains 45 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.61 total nursing hours (national average 3.86) and 0.39 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Autumn Lake Healthcare at Arlington West falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 43.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (45 most recent)

D - Isolated - Minimal harm Jun 17, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 29, 2025

D - Isolated - Minimal harm Jun 17, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 29, 2025

D - Isolated - Minimal harm Jun 17, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 29, 2025

D - Isolated - Minimal harm Jun 17, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jul 29, 2025

C - Widespread - No harm May 6, 2022 Tag: 0885

Report COVID19 data to residents and families.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2022

C - Widespread - No harm May 6, 2022 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 5, 2022

C - Widespread - No harm May 6, 2022 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0608

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm May 6, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 5, 2022

E - Pattern - Minimal harm May 6, 2022 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2022

F - Widespread - Minimal harm May 6, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2022

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0559

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2018

D - Isolated - Minimal harm Nov 1, 2018 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 22.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 5.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.1% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Autumn Lake Healthcare at Arlington West, both outside MD so the neighborhoods are not the same-state geography list below.

What the CMS records show for Autumn Lake Healthcare at Arlington West

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MD registry aggregates state averages and the highest-rated homes in this cohort. View MD registry
  • Peer homes near 82 beds show how CMS stars vary at a similar scale in MD. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Autumn Lake Healthcare at Arlington West?
Autumn Lake Healthcare at Arlington West has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (3★).
Where does Autumn Lake Healthcare at Arlington West rank among nursing homes in MD?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Autumn Lake Healthcare at Arlington West ranks 182nd among 219 rated nursing homes in MD (#182 of 219). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Autumn Lake Healthcare at Arlington West?
Autumn Lake Healthcare at Arlington West reports 3.61 total nursing hours per resident day (national average: 3.86). RN hours are 0.39 per resident day (national average: 0.69). Nursing staff turnover is 43.8%.
How many beds does Autumn Lake Healthcare at Arlington West have?
Autumn Lake Healthcare at Arlington West has 82 certified beds with approximately 73 residents. The facility is located at 3939 Penhurst Avenue, Baltimore, MD 21215.
Does Autumn Lake Healthcare at Arlington West have any deficiencies on record?
Yes, Autumn Lake Healthcare at Arlington West has 45 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Autumn Lake Healthcare at Arlington West received any fines or penalties?
No, Autumn Lake Healthcare at Arlington West has no fines or penalties on record.
Who owns Autumn Lake Healthcare at Arlington West?
Autumn Lake Healthcare at Arlington West is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Autumn Lake Healthcare at Arlington West last inspected?
The most recent health inspection for Autumn Lake Healthcare at Arlington West was on Jun 17, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Autumn Lake Healthcare at Arlington West?
Autumn Lake Healthcare at Arlington West is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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