Autumn Lake Healthcare at Summit Park: Care Plan Failure - MD
Inspectors found the gap during the visit and brought it to the attention of a staff member on the spot. That person, described in the inspection report only by her role at the time of notification, was made aware of the concern during the inspection itself.
The Director of Nursing was then notified on August 21, 2025, at 12:20 in the afternoon. She was notified again when inspectors walked out the door on August 27.
An indwelling foley catheter is a tube inserted into the bladder to drain urine continuously. Residents who have one are at elevated risk for urinary tract infections, skin breakdown, and other complications. A care plan is the document that tells nursing staff how to monitor for those problems, what to watch for, and what to do if something changes. Without one, there is no written roadmap guiding the people responsible for that resident's day-to-day care.
The inspection report does not describe how long the resident had the catheter before inspectors arrived. It does not say whether she experienced any complications during that period. The violation was classified at the lowest level of harm, meaning inspectors determined there was minimal harm or potential for actual harm, but did not find evidence of serious injury.
The facility serves residents at 1502 Frederick Road in Catonsville.
The inspection was a complaint visit, meaning someone, whether a resident, a family member, or another party, had contacted regulators before inspectors arrived. The report does not identify who filed the complaint or what it alleged.
Autumn Lake Healthcare at Summit Park is part of a larger network of facilities operating under the Autumn Lake brand across Maryland. The deficiency was tagged under F0656, which covers individualized care planning. Inspectors noted that a few residents were affected.
What the record shows is straightforward: a resident had a catheter, and nobody had written down a plan for caring for it.
The Director of Nursing knew about it before the inspection ended. Whether a care plan was in place by the time she left the building that afternoon, the report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Autumn Lake Healthcare At Summit Park from 2025-08-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 3, 2026 · Our methodology
AUTUMN LAKE HEALTHCARE AT SUMMIT PARK in CATONSVILLE, MD was cited for violations during a health inspection on August 27, 2025.
Inspectors found the gap during the visit and brought it to the attention of a staff member on the spot.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.