Skip to main content
Advertisement
Complaint Investigation

Autumn Lake Healthcare At Patuxent River

Inspection Date: October 17, 2025
Total Violations 4
Facility ID 215141
Location LAUREL, MD
Advertisement

Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0558

Reasonably accommodate the needs and preferences of each resident.

Level of Harm - Minimal harm or potential for actual harm

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.

Residents Affected - Few

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

(X6) DATE

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

Facility ID:

If continuation sheet

Event ID:

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

10/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Autumn Lake Healthcare at Patuxent River

14200 Laurel Park Drive Laurel, MD 20707

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)

Advertisement

F-Tag F0580

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0580

notified, if available; however, no documented evidence was provided to the surveyor.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

10/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Autumn Lake Healthcare at Patuxent River

14200 Laurel Park Drive Laurel, MD 20707

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)

Advertisement

F-Tag F0656

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

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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.

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

10/17/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Autumn Lake Healthcare at Patuxent River

14200 Laurel Park Drive Laurel, MD 20707

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)

Advertisement

F-Tag F0842

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

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 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.

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

AUTUMN LAKE HEALTHCARE AT PATUXENT RIVER in LAUREL, 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 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 PATUXENT RIVER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
« Back to Facility Page
Advertisement
Advertisement