Autumn Lake Healthcare At Patuxent River
AUTUMN LAKE HEALTHCARE AT PATUXENT RIVER in LAUREL, MD — inspection on October 17, 2025.
Found 4 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
Based on observation and staff interview it was determined that the facility staff failed to ensure a resident had access to their call bell plunger.
This was evident for 1 (Resident #8) out 8 residents that were part of the survey sample during the complaint survey.The findings include:This surveyor went to Resident #8's room on 10/16/25 at 12:15 PM.
The resident's call bell plunger (handheld part used to sound an alarm alerting staff the resident needed assistance) was observed to be on the floor on the right side of the bed.
This surveyor left the room and told the nurse (Staff #20).
She came to the room, put on gloves, and picked up the plunger.
She then put the plunger on the bed.This surveyor went to Resident #8's room on 10/17/25 at 9:10 AM.
The call bell plunger was observed to be hanging down from the bed near the top of the right-side transition rail.
The resident was asked if they knew where their call bell was and the resident shook their head no.The Director of Nursing was interviewed on 10/17/25 at 10:35 AM.
She was informed of the call bell observations.
She responded by saying she would talk to the nursing staff and address it with them.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Autumn Lake Healthcare at Patuxent River
14200 Laurel Park Drive Laurel, MD 20707
SUMMARY STATEMENT OF DEFICIENCIES
notified, if available; however, no documented evidence was provided to the surveyor.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Autumn Lake Healthcare at Patuxent River
14200 Laurel Park Drive Laurel, MD 20707
SUMMARY STATEMENT OF DEFICIENCIES
record with the Surveyor present, she remarked, I think it is this one on the task list- wait this is for eating, not sure.
On 10/17/2025 at approximately 2:30 PM, during a second interview with the Director of Nursing (DON), he/she stated that the facility's nursing staff had not received instructions regarding Resident #7's transfer status.
The DON added that the ADL care plan should have included a transfer status to guide staff in providing appropriate care and transfers.
On 10/17/2025 at approximately 3:40 PM the Administrator and the DON were made aware of the concern.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/17/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Autumn Lake Healthcare at Patuxent River
14200 Laurel Park Drive Laurel, MD 20707
SUMMARY STATEMENT OF DEFICIENCIES
Based on review of the resident's medical record and interview with resident and facility staff, it was determined that the facility staff failed to maintain accuracy of medical record by not documenting the reason for missed dose of medication in the resident's medical record.
This was evident for 1 (Resident #11) of 1 resident reviewed for medication administration during the complaint survey.The findings include:During the investigation of Complaints and Facility Reported Incidents (FRIs) on 10/16/2025 at 1:29 PM, Resident #11 stated that he/she had not received her Vitamin C medication for the past couple days. A medical record review on 10/17/2025 at 11:32 AM revealed an active order written on 5/22/2025 at 09:00 for Vitron-C Oral Tablet 65-125 MG (Iron-Vitamin C), Give 1 tablet by mouth in the morning every other day for anemiaUpon further review of the Medication Administration Record (MAR) for the month of October 1-17, 2025, it was noted on 11 October 2025, the nurse's initials and the number 9.
During an interview with the DON on 10/17/2025 at 11:32 AM, when asked what does the 9 mean on the MAR, the DON stated that as per the MAR legend, 9=See Nurse Note.
The surveyor asked to see the documented nurse note for the missed medication dose on 11 October 2025.On 10/17/2025 at 11:47 AM, the DON stated that she could not find any documentation as to whether the medication was given and no supporting nurses' notes.
The surveyor informed the DON that this was a concern as there were no documentation in the medical record that indicated the reason for the missed dose of medication.
The DON agreed and stated that there should have been documentation in the resident's medical record.
Facility ID: