Autumn Lake Healthcare: Environmental Safety Gaps - MD
The administrator, identified in the inspection report as NHA staff #1, had an explanation ready when the surveyor raised the discrepancy on November 24, 2025. The MDS Coordinator had filled out the form and "likely put the wrong discharge information," the administrator said. The residents had actually gone to the hospital. "Let me look into it," the administrator told the inspector.
A few hours later, the inspector followed up.
The administrator's answer had changed. There was no additional information to provide, the administrator now said. The residents were discharged home.
That was the opposite of what the administrator had said that same afternoon.
The inspection cited the facility under F0842, which covers the accuracy of clinical records. CMS rated the level of harm as minimal or potential for actual harm, with few residents affected.
Discharge destination is not a minor bookkeeping detail. Where a resident goes after leaving a nursing home affects continuity of care, follow-up treatment, and whether family members and outside providers have accurate information about what happened. A record that says "home" when the answer is "hospital" is a record that can send care in the wrong direction.
What the inspection report leaves unresolved is which answer was true. The administrator first said hospital, then said home, and offered nothing to support either version. The MDS Coordinator, the person the administrator initially blamed for the error, was not interviewed in the portion of the report made available. The correct discharge destination for the residents in question remains, at least in the public record, unconfirmed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Autumn Lake Healthcare Post-acute Care Center from 2025-11-24 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
AUTUMN LAKE HEALTHCARE POST-ACUTE CARE CENTER in BALTIMORE, MD was cited for violations during a health inspection on November 24, 2025.
The administrator, identified in the inspection report as NHA staff #1, had an explanation ready when the surveyor raised the discrepancy on November 24, 2025.
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.