Autumn Lake Healthcare At Ruxton
Inspection Findings
F-Tag F0658
F 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Level of Harm - Minimal harm or potential for actual harm
Based on resident interviews, record reviews and staff interviews, it was determined that the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice.
This was evident for 1 resident (Resident #1) receiving medications late.The findings include: On 10/07/2025 at 2:40 PM, Resident #1 was interviewed. During the interview, Resident #1 stated that he/she has received medications several hours late.On 10/07/2025 at 3:37 PM, the surveyor reviewed the resident's records. The resident record review revealed that Resident #1's Medication Admin Audit Report indicated that the resident received the following morning medications late on 10/2/25: 1. Metamucil 4 in 1 Fiber Oral Packet (Psyllium), for bowel regimen, was scheduled for 9:00 AM and was administered at 11:37 AM; 2. Lasix Oral Tablet 20 mg (Furosemide), for edema, was scheduled for 9:00 AM and was administered at 11:37 AM; 3. Buspirone HCl Oral Tablet 30 mg (Buspirone HCl), for anxiety, was scheduled for 9:00 AM and was administered at 11:37 AM;4. Lamotrigine ER Oral /Tablet Extended Release 24 hour 50 mg (Lamotrigine), for bipolar disorder, was scheduled for 9:00 AM and was administered at 11:37 AM;5.
Bactrim DS Oral Tablet 800-160 mg (Sulfamethoxazole-Trimethoprim), for cellulitis, was scheduled for 9:00 AM and was administered at 12:55 PM; and6. Mounjaro Subcutaneous Solution Auto-Injector 2.5 mg/0.5 mL (Tirzeptide), for diabetes mellitus, was scheduled for 9:00 AM and was administered at 2:23 PM. On 10/07/2025 at 03:53 PM, the Director of Nursing staff #2 was interviewed. During the interview, the surveyor mentioned to staff #2 that according to Resident #1's Medication Admin Audit Report, the resident received his/her morning medications late on 10/2/25. Staff #2 agreed that Resident #1's medications were administered late on the morning of 10/2/25, and she stated that it is possible that Resident #1's medications were administered on time; however, it could have been documented late. Also, staff #2 mentioned that the expectation is for staff to administer resident medications on time, and to document them in the Medication Administration Record at the time it was administered.
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:
AUTUMN LAKE HEALTHCARE AT RUXTON in TOWSON, 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 TOWSON, 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 RUXTON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.