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AUTUMN LAKE HEALTHCARE AT CALVERT MANOR

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AUTUMN LAKE HEALTHCARE AT CALVERT MANOR is a for profit - limited liability company facility in RISING SUN, MD with 144 certified beds and a 3-star overall CMS rating. The facility has 32 deficiency records on file.

1881 TELEGRAPH ROAD, RISING SUN, MD 21911

Phone: 4106586555

Overall Rating

3/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
215189
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
144
Residents
133
In Hospital
No
County
Cecil
Last Inspection
Apr 2, 2025

Staffing Data

RN Hours
0.66 (nat'l avg: 0.68)
LPN Hours
0.90
CNA Hours
1.74
Total Nursing Hours
3.30 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
44.9%
RN Turnover
29.4%

What the CMS Record Reveals About AUTUMN LAKE HEALTHCARE AT CALVERT MANOR

AUTUMN LAKE HEALTHCARE AT CALVERT MANOR operates 144 certified beds in RISING SUN, MD with approximately 133 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (3★). 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.

The inspection file contains 32 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.30 total nursing hours per resident day (national average 3.89), with RN coverage at 0.66 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, AUTUMN LAKE HEALTHCARE AT CALVERT MANOR falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 44.9%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (32 most recent)

D — Isolated - Minimal harm Dec 10, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Dec 10, 2025 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: Jan 10, 2026

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 2, 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: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 2, 2025 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: May 9, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 2, 2025 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: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2025

E — Pattern - Minimal harm Apr 2, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 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: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 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: May 9, 2025

D — Isolated - Minimal harm Apr 2, 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: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Apr 2, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2025

D — Isolated - Minimal harm Dec 17, 2018 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: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 2018 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 2018 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 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: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 2018 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 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: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 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: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 2018 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2019

D — Isolated - Minimal harm Dec 17, 2018 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Jan 31, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 29.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 41.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 35.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.5% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for AUTUMN LAKE HEALTHCARE AT CALVERT MANOR?
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at AUTUMN LAKE HEALTHCARE AT CALVERT MANOR?
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR reports 3.30 total nursing hours per resident day (national average: 3.89). RN hours are 0.66 per resident day (national average: 0.68). Nursing staff turnover is 44.9%.
How many beds does AUTUMN LAKE HEALTHCARE AT CALVERT MANOR have?
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR has 144 certified beds with approximately 133 residents. The facility is located at 1881 TELEGRAPH ROAD, RISING SUN, MD 21911.
Does AUTUMN LAKE HEALTHCARE AT CALVERT MANOR have any deficiencies on record?
Yes, AUTUMN LAKE HEALTHCARE AT CALVERT MANOR has 32 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has AUTUMN LAKE HEALTHCARE AT CALVERT MANOR received any fines or penalties?
No, AUTUMN LAKE HEALTHCARE AT CALVERT MANOR has no fines or penalties on record.
Who owns AUTUMN LAKE HEALTHCARE AT CALVERT MANOR?
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was AUTUMN LAKE HEALTHCARE AT CALVERT MANOR last inspected?
The most recent health inspection for AUTUMN LAKE HEALTHCARE AT CALVERT MANOR was on Apr 2, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for AUTUMN LAKE HEALTHCARE AT CALVERT MANOR?
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial