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Complaint Investigation

Autumn Lake Healthcare At Bradford Oaks

Inspection Date: October 16, 2025
Total Violations 1
Facility ID 215165
Location CLINTON, MD
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Inspection Findings

F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0658 Level of Harm - Minimal harm or potential for actual harm

aware of the medication observation for Resident # 13 in which the nurse left the medications in the resident room unattended. She stated that the nurses are giving the medications on time but are documenting them off later. She went on to say that the standard of practice is to sign the medications off at

the time the medications are administered to the resident and that medications are never to be left unattended. She stated that re-education will be provided to all the nurses.

Residents Affected - Few All concerns were discussed with the Administration team at the exit conference on 10/16/25.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

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📋 Inspection Summary

AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS in CLINTON, MD inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLINTON, MD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AUTUMN LAKE HEALTHCARE AT BRADFORD OAKS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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