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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D34 | E13 | F5 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 7, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 7, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 19, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 19, 2025 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Nov 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 20, 2020 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Oct 20, 2020 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 1, 2025 | Civil money penalty (fine) | $11,381 | — | 215315|Fine|133840 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D34 | E13 | F5 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 4, 2026 | Complaint |
| May 29, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
59 facilities in 5 states. CMS chain ID 56.
Chain average overall rating (CMS): 2.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 3415 Greencastle Road Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| As Family Md4 Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| M Meisels Family Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 3415 Greencastle Road Holdco LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| As Family Md4 Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| M Meisels Family Holdings LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2022 |
| Benjamin Kyler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Autumn Lake Healthcare at Ballenger Creek 347 Ballenger Drive, Frederick, MD 21701 CCN 215001 | 130 | Jun 30, 2026 | 921 IJ1 harm | — | |
| Autumn Lake Healthcare at Arcola 901 Arcola Avenue, Silver Spring, MD 20902 CCN 215014 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Fairland Center 2101 Fairland Road, Silver Spring, MD 20904 CCN 215015 | 3.2 km | 92 | Jul 9, 2026 | 76 | — | |
| Autumn Lake Healthcare at Silver Spring 2501 Musgrove Road, Silver Spring, MD 20904 CCN 215224 | 3.6 km | 148 | Apr 28, 2026 | 54 | — | |
| Riderwood Village 3160 Gracefield Road, Silver Spring, MD 20904 CCN 215343 | 4.9 km | 44 | Sep 22, 2025 | 38 | — | |
| Harmony Suites Rehabilitation and Wellness Center 13908 New Hampshire Avenue, Silver Spring, MD 20904 CCN 215065 | 5.4 km | 100 | May 15, 2026 | 872 IJ1 harm | $174k | |
| Autumn Lake Healthcare at Patuxent River 14200 Laurel Park Drive, Laurel, MD 20707 CCN 215141 | 5.5 km | 153 | Apr 13, 2026 | 961 harm | — | |
| Complete Care at Springbrook 12325 New Hampshire Avenue, Silver Spring, MD 20904 CCN 215052 | 6.5 km | 93 | Aug 13, 2026 | 63 | — | |
| Sterling Care Hillhaven 3210 Powder Mill Road, Adelphi, MD 20783 CCN 215212 | 7.2 km | 66 | Jun 9, 2025 | 44 | — | |
| Autumn Lake Healthcare at Cherry Lane 9001 Cherry Lane, Laurel, MD 20708 CCN 215177 | 7.9 km | 155 | Apr 13, 2026 | 63 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 215315 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 215315 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Maryland OHCQ Long Term Care MD | 2415071 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Jul 22, 2025 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 29, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2026 | Complaint |
| May 29, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2026 | Complaint |
| Apr 7, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Apr 7, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Apr 7, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 25, 2026 |
| Apr 7, 2026 | F-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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 25, 2026 |
| Jul 1, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Jun 30, 2025 | Complaint |
| Feb 19, 2025 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Feb 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Feb 19, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Feb 19, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 2, 2025 | Complaint |
| Feb 19, 2025 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 2, 2025 | Complaint |
| Feb 19, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 2, 2025 |
| Feb 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 2, 2025 |
| Nov 20, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2025 | Complaint |
| Oct 20, 2020 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 4, 2020 |
| Oct 20, 2020 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 4, 2020 |
| Oct 20, 2020 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 4, 2020 |
| Oct 20, 2020 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 4, 2020 |
| Oct 20, 2020 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Dec 4, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.55 (case-mix index 1.47).
| not provided |
| Feb 26, 2024 |
| Ramesh Sabapathi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| Mark Schwartz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2022 |
| Mark Schwartz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2022 |
| 3415 Greencastle Road Propco LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Aug 1, 2022 |
| 3415 Greencastle Road Holdco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| 3415 Greencastle Road Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| Accurate Staffing LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| As Family Md4 Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| Brand Sonnenschine LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2022 |
| M Meisels Family Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2021 |
| Benjamin Kyler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2024 |
| Ramesh Sabapathi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| 151 |
| Dec 19, 2025 |
822 IJ |
| — |
| Autumn Lake Healthcare at Long View 3332 Main Street, Manchester, MD 21102 CCN 215017 | 109 | Feb 18, 2026 | 42 | — |
| King David Nursing and Rehabilitation Center 4204 Old Milford Mill Road, Baltimore, MD 21208 CCN 215022Abuse icon | 100 | Jun 17, 2026 | 103 | — |
| Autumn Lake Healthcare at Chevy Chase 8700 Jones Mill Road, Chevy Chase, MD 20815 CCN 215029 | 172 | Apr 3, 2026 | 74 | — |
| Autumn Lake Healthcare at Long Green 115 East Melrose Avenue, Baltimore, MD 21212 CCN 215031 | 135 | May 15, 2026 | 116 | — |
| Autumn Lake Healthcare at Homewood 6000 Bellona Avenue, Baltimore, MD 21212 CCN 215074Abuse icon | 112 | Jul 17, 2026 | 102 | — |
| Autumn Lake Healthcare at Ruxton 7001 Charles Street, Towson, MD 21204 CCN 215077 | 179 | Aug 24, 2026 | 114 | — |