Autumn Lake Healthcare At Cherry Lane
AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD — inspection on August 13, 2025.
Found 12 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-13.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-08-13.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-13.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
plan is updated and interventions are implemented whenever there is a change in condition. He
215177 08/13/2025
Autumn Lake Healthcare at Cherry Lane 9001 Cherry Lane Laurel, MD 20708
The surveyor reviewed Resident #115's clinical record on 8/01/25 at 07:15 PM.
The review revealed that Resident #115 had quarterly MDS assessments completed on 9/01/24 and 11/30/24.
Review of the resident's care plans revealed that all care plan goals were revised on 12/13/24.
There was no evidence in the clinical record that a care plan meeting was held with the resident and the interdisciplinary team around the time of either quarterly MDS assessment or at the time of the care plan revision.
The surveyor interviewed Social Services (SS) Staff #7 on 8/05/25 at 10:30 AM.
During the interview, SS Staff #7 indicated that social services staff were responsible for coordinating the care plan meetings with residents.
Further, care plan meeting notes were documented in the resident's electronic records the same day or a day after the care plan meeting was held.
The surveyor enquired whether care plan meetings were held for Resident #115 for the months of August 2024 and November 2024. SS Staff #7 reviewed the resident's electronic record and Hard Chart in the presence of the surveyor and confirmed that there was no documentation of care plan meetings for those months. SS Staff # stated I did not find any documentation.
The surveyor requested SS Staff #7 to provide the survey team with any evidence that care plan meetings had taken place for Resident #115 around the time when the quarterly MDS assessments were completed on 9/01/24 and 11/30/24.
On 8/06/25 at 6:58 AM the Director of Nursing was made aware of the surveyor's findings.
At the time of exit no additional information was provided to the survey team
215177 08/13/2025
Autumn Lake Healthcare at Cherry Lane 9001 Cherry Lane Laurel, MD 20708
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-08-13.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-13.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-13.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-13.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
During an observation of the 2A/B Nursing Unit on 8/01/25 at 1:07 PM it was found to contain a binder called 2A/2B Weight Binder. Resident #163 did not have a daily weight log inside the binder.
During an interview with the Unit Manager/Staff Educator RN on 8/01/25 at 1:18 PM she reported Medical Records would store the weight log with the Resident's chart.During an interview with the Medical Records Coordinator on 8/01/25 at 1:22 PM she reported there were no additional records for Resident #163.
Everything would have been in the paper chart already provided.
During an interview with the Unit Manager/Staff Educator RN on 8/01/25 at 1:28 PM she provided the Daily Weight Log for Resident #163, the weight log was curled into a circle and unable to lie flat.
She reported the Weight Log was found in the previous unit manager's office that was not currently being used.During an observation with the Unit Manager/Staff Educator RN on 8/01/25 at 1:32 PM she showed where the records for Resident #163 were found.
The Weight Log for Resident #163 was found loose, not in a binder or folder, and was rolled up with weight logs for other Residents lying on top of a rolling rack for file folders.2.
During an interview with Resident #137 on 8/12/25 at 2:05 PM he/she reported that when admitted to the facility staff members took pictures of him/her without consent.
During an interview with the Director of Nursing on 8/13/25 at 9:24 AM she reported residents would be asked for photo consent when the admission Packet is completed upon admission.
She advised the Admissions Office stores and would have the admission packet for Resident #137.
During an interview with the Admissions Director on 8/13/25 at 2:43 PM she advised they had been adding the admission packets to the Electronic Medical Record, but reported that records that were not recent were being stored in a room across the hall from the Admissions Director.
She reported she had already looked for the admission Packet for Resident #137 today at the request of the Administrator and was unable to locate it.
During an interview with the Administrator on 8/13/25 at 2:51 PM he reported they were unable to find the admission Packet for Resident #137. He stated he/she probably refused to sign it.
The Administrator agreed that if the Resident had refused to sign the admission Packet there would be some documentation of the refusal. He confirmed there was no additional forms found related to the missing admission Packet.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-13.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-08-13.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 12 deficiencies cited during this inspection of AUTUMN LAKE HEALTHCARE AT CHERRY LANE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.