Autumn Lake Healthcare At Birch Manor
Inspection Findings
F-Tag F0925
F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Record Review of Resident R12's quarterly MDS dated [DATE REDACTED] revealed Resident R12 had a BIMS score of 15/15. Resident R12 required moderate assistance with ADLs. During an interview and observation on 11/17/2025 at 11:50 AM, Resident R12 sat on the bed and explained that there were bed bugs in the shared room and mostly on Resident R11's bed, his/her roommate. Resident R12 stated on 11/14/2025, the facility fumigated and washed all linen, and concluded that since then, he/she had not seen any bed bugs. During an interview on 11/17/2025 at 11:59 AM, Director of Housekeeping (DHK) 6 stated there were no mouse traps in the Resident rooms. DHK 6 stated that mice traps were placed in less-trafficked areas around the Nurses Station and the kitchen areas.
During an interview on 11/17/2025 at 12:30 PM, the Resident Council President (RCP), Resident R16, stated mice were still a problem and stated the interventions the facility had in place were not effective. During
observation and interview on 11/18/2025 at 11:10 AM, the Nursing Home Administrator (NHA) 2 observed
a hole in Resident R6's room and several mouse droplets along the wall and shredded pieces of paper under Resident R6's bed. NHA 2 further observed Resident R13's room on the third floor and stated that the mice droplets would be cleaned out and concluded that repairs and treatment would be done immediately. During an interview on 11/19/2025, at 9:30 AM, the Ombudsman 7 stated she received several reports of mice infestation in Resident rooms and concluded Residents had been complaining about mice infestation for the last six months, and mice could be a health risk if not treated.
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AUTUMN LAKE HEALTHCARE AT BIRCH MANOR in SYKESVILLE, 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 SYKESVILLE, 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 BIRCH MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.