Autumn Lake Healthcare At Silver Spring
AUTUMN LAKE HEALTHCARE AT SILVER SPRING in SILVER SPRING, MD — inspection on March 27, 2026.
Found 3 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
limited to receiving treatment and supports for daily living safely.
to ensure that Resident #33's personal belongings were secured.
This was evident for 1 out of 1
account for some of Resident #33's belonging.
The complaint alleged that the resident was missing a phone charger, 3 white tee shirts, 3 ball caps, and a pair of sweatpants.
The medical record and the paper chart were reviewed for an inventory sheet for the resident, and none was found. A copy of the facility's policy for Resident's Personal Belongings was requested and acquired.
This policy clearly stated that All resident personal items will be inventoried at the time of admission and documentation shall be retained in the medical record.
Addition possessions brought in during the duration of the individual's stay shall be added to the existing personal belongings inventory listing.During an interview with the facility Administrator, a copy of Resident 33's inventory sheet was requested.
The Administrator stated that a search for the inventory sheet was done of both the electronic and the paper medical record for Resident #33 and no inventory sheet was found.
The Administrator further stated that they would contact Resident #33's Responsible Party (RP) and ascertain what items were missing and the facility would replace 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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
215224 03/27/2026
Autumn Lake Healthcare at Silver Spring 2501 Musgrove Road Silver Spring, MD 20904
actions that can be measured.
failed to develop and initiate comprehensive person-centered care plans for residents residing in the
care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. On 03/26/2026 at 11:25 AM, during a review of the medical record for Resident #47, it was determined that the resident's dental issues were not addressed in their care plan.
The contract dental service had been seeing the resident, had identified the resident's dental issues and were working to resolve them by replacing the resident's dentures.
The dental services had documented what had been done and what needed to be done but the care plan did not reflect this issue. On 03/27/2026 at 12:18 PM, during a review of the medical record it was discovered that though Resident #33 had been diagnosed by their primary provider with Chronic Kidney Disease (CKD), Stage 3, this diagnosis had not been addressed in the resident's care plan.
There was no mention of CKD in either the initial care plan or the current care.
The resident's CKD had also been identified by the providers at the acute care hospital during 2 emergency room visits in the last 8 months.On 3/27/2026 at 2:20 PM, during an interview with Employee #8 it was requested that they review the care plans for Residents #33 and #47 to verify that the elements identified during the survey were missing.
Employee #8 verified that the residents' care plans were missing the identified elements and stated the care plans would be updated.
215224 03/27/2026
Autumn Lake Healthcare at Silver Spring 2501 Musgrove Road Silver Spring, MD 20904
Nursing, and the reports must be acted upon.
Furthermore, the policy stated, If the pharmacist should
prior to the next scheduled review.