Autumn Lake Healthcare: Medical Records Failures - MD
Inspectors visiting Autumn Lake Healthcare Post-Acute Care Center on November 24, 2025 found discharge paperwork indicating that residents who had left the facility within the previous six months had been sent home. When a surveyor raised the discrepancy, the nursing home administrator offered an explanation: the MDS Coordinator had filled out the form incorrectly. The residents had actually gone to the hospital.
"My MDS Coordinator completed the form and likely put the wrong discharge information," the administrator told the inspector. "The residents were discharged to hospital, let me look into it."
That was the afternoon. By 4:05 p.m., the inspector returned for a follow-up. The administrator's answer had changed.
There was no additional information, the administrator said. The residents were discharged home.
The inspection cited a deficiency under F0842, which covers the accuracy of clinical records. Inspectors rated the level of harm as minimal or potential for actual harm, with few residents affected.
What the report cannot answer is which version is true. The discharge forms said home. The administrator's first instinct was hospital. The final answer was home again, with nothing to support it.
Accurate discharge records carry real consequences for residents. A patient transferred to a hospital needs follow-up care, medication reconciliation, and coordination between providers. A patient sent home needs something different. If a facility cannot say with confidence which happened, it cannot confirm that either path was properly managed.
The inspection was conducted as a complaint survey. Autumn Lake Healthcare operates at 5009 Frankford Avenue in Baltimore.
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.
When a surveyor raised the discrepancy, the nursing home administrator offered an explanation: the MDS Coordinator had filled out the form incorrectly.
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.