Skip to main content

Public Record

Autumn Lake Healthcare at Chesapeake Woods

Nursing HomeCambridge, MDCMS 215221
91 citations on record

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
98

*CMS

Avg. residents per day
93.6

*CMS

Inspection record

On record from CMS

Citations on record
91

*CMS

Inspections on file
8

*CMS

Last inspection
2025-12-19

*CMS

Citations

91 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0362Generalpotential for harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0281Generalpotential for harm

    Install proper backup exit lighting.

  • 0223Generalpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0567Generalpotential for harm

    Honor the resident's right to manage his or her financial affairs.

  • 0584Generalpotential for harm

    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.

  • 0628Generalpotential for harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • 0656Generalpotential for harm

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

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0689Seriousimmediate jeopardy

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

  • 0730Generalpotential for harm

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

  • 0756Generalpotential for harm

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

  • 0804Generalpotential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • 0812Generalpotential for harm

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

  • 0837Generalpotential for harm

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0919Generalpotential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • 0923Generalpotential for harm

    Have enough outside ventilation via a window or mechanical ventilation, or both.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0584Generalpotential for harm

    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.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0657Generalpotential for harm

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

  • 0695Generalpotential for harm

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

  • 0756Generalpotential for harm

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

  • 0757Generalpotential for harm

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

  • 0758Generalpotential for harm

    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.

  • 0761Generalpotential for harm

    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.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0842Generalpotential for harm

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

  • 0552Generalpotential for harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • 0580Generalpotential for harm

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

  • 0600Generalpotential for harm

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

  • 0609Generalpotential for harm

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

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0710Generalpotential for harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0223Generalpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0281Generalpotential for harm

    Install proper backup exit lighting.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0355Generalpotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0362Generalpotential for harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0374Generalpotential for harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

  • 0500Generalpotential for harm

    Meet other general requirements that are deficient.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0711Generalpotential for harm

    Provide a written emergency evacuation plan.

  • 0781Generalpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0911Generalpotential for harm

    Meet requirements for the installation and maintenance of electrical systems.

  • 0918Generalpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0919Generalpotential for harm

    Meet requirements for the use of electrical equipment.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0802Generalpotential for harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  • 0808Generalpotential for harm

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

  • 0842Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0324Generalpotential for harm

    Provide properly protected cooking facilities.

  • 0355Generalpotential for harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0550Generalpotential for harm

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

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0623Generalpotential for harm

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0656Generalpotential for harm

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

  • 0684Generalpotential for harm

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

  • 0726Generalpotential for harm

    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.

  • 0730Generalpotential for harm

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

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0514Generalpotential for harm

    Keep accurate, complete and organized clinical records on each resident that meet professional standards.

  • 0441Generalpotential for harm

    Have a program that investigates, controls and keeps infection from spreading.

  • 0371Generalpotential for harm

    Store, cook, and serve food in a safe and clean way.

  • 0329Generalpotential for harm

    Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

  • 0309Generalpotential for harm

    Provide necessary care and services to maintain or improve the highest well being of each resident .

  • 0282Generalpotential for harm

    Provide care by qualified persons according to each resident's written plan of care.

  • 0278Generalpotential for harm

    Ensure each resident receives an accurate assessment by a qualified health professional.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0211Generalpotential for harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0456Generalpotential for harm

    Keep all essential equipment working safely.

FAQ

Questions and answers

What is Autumn Lake Healthcare at Chesapeake Woods?
Autumn Lake Healthcare at Chesapeake Woods is a Medicare- and Medicaid-certified nursing home in Cambridge, MD, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 215221.
What is the CMS rating for Autumn Lake Healthcare at Chesapeake Woods?
Autumn Lake Healthcare at Chesapeake Woods has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Autumn Lake Healthcare at Chesapeake Woods have?
Autumn Lake Healthcare at Chesapeake Woods is certified for 98 beds. It serves an average of 93.6 residents per day.
How many citations does Autumn Lake Healthcare at Chesapeake Woods have?
Autumn Lake Healthcare at Chesapeake Woods has 91 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Autumn Lake Healthcare at Chesapeake Woods last inspected?
Autumn Lake Healthcare at Chesapeake Woods was last inspected on December 19, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

/nursing-home/215221-autumn-lake-healthcare-at-chesapeake-woods