Autumn Lake Healthcare At Cherry Lane
Inspection Findings
F-Tag F0583
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.
F-Tag F0609
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.
F-Tag F0641
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.
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
review of the medical record revealed that on 08/11/25 at 3:40PM, the facility failed to initiate an actual fall care plan to reflect Resident #161's fall on 4/21/24.On 08/12/2025 at 9:56 AM, the surveyor interviewed the ADON regarding the process for updating a care plan after a resident fall. The ADON stated it is the expectation that the manager and supervisor ensure the care plan is updated and interventions are implemented whenever there is a change in condition. He acknowledged this expectation was not met. The surveyor informed him of the concern, and he acknowledged receipt
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Autumn Lake Healthcare at Cherry Lane
9001 Cherry Lane Laurel, MD 20708
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Based on record review and interview, it was determined that the facility failed to hold care plan meetings of
the interdisciplinary team for residents at the time of the quarterly revision of their care plan. This was evident for 1 (Resident #115) of 7 residents reviewed for care planning.The findings include: Care plans are developed for residents to guide the care that residents receive in the facility. They are required to be developed within 7 days of completion of a resident's admission comprehensive Minimum Data Set (MDS) assessment and revised at least every quarter (or more often as needed). The facility is required to have care plans developed and revised by an interdisciplinary team including: the attending physician, a registered nurse, a nursing aide, a representative from dietary services, the resident, and the resident's representative (as practicable).
Resident #115 was admitted to the facility in November 2023 with diagnoses including Hypertension and Diabetes Mellitus.
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
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/13/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Autumn Lake Healthcare at Cherry Lane
9001 Cherry Lane Laurel, MD 20708
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0730
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.
F-Tag F0757
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.
F-Tag F0761
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.
F-Tag F0812
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.
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Based on medical record reviews, interviews and observations it was determined that the facility failed to ensure medical records were complete, readily assessable and organized. This was evident for 2 (Resident #163 and #137) of 2 residents reviewed for medical record storage.The findings include:During an interview with the complainant for Complaint #337031 on 7/31/25 at 5:07 PM he/she reported that the facility had not obtained weights daily as had been ordered for Resident #163.During a review of the Electronic Medical
Record (EMR) on 8/01/25 at 11:52 AM for Resident #163 it was discovered that there was a doctor's order from 1/30/25 to 2/12/25 for weights to be done daily which stated, Weigh at same time every day and call MD if increases more than 2 lbs/day or 5 lbs/5 days, every night shift. Further review of the medical records for Resident #163 revealed three weights were documented in the EMR, they were obtained on 1/30/25, 2/03/25 and 2/12/25. The Treatment Administration Record (TAR) showed the weight order was signed off as completed every day from 1/30/25 - 2/11/25 except for when the resident refused on 2/08 and 2/10.During a review of the Resident's Paper Chart (Hard copies) from Medical Records on 8/01/25 at 11:33 AM it revealed no additional weights were documented in the Paper Chart (hard copies).During an
interview with the Director of Nursing (DON) on 8/01/25 at 12: 59 PM she advised weights are documented and kept in a binder on the nursing unit. 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.
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Facility ID:
If continuation sheet
F-Tag F0880
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.
F-Tag F0883
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.
AUTUMN LAKE HEALTHCARE AT CHERRY LANE in LAUREL, MD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 LAUREL, 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 CHERRY LANE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.