AUTUMN LAKE HEALTHCARE AT ARLINGTON WEST – Nursing Home, BALTIMORE, Maryland
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Cited for abuse in CMS records
7 substantiated complaints
Last cited survey: 17 June 2025 · 100 health and 36 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
3939 PENHURST AVENUE
BALTIMORE, MD 21215
Phone: (410) 664-9535
Compare to MD average
See how this facility compares to the MD state average among rated nursing homes (226 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | MD average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 2 | 3.15 | 3 |
| Health inspection | 2 | 2.82 | 3 |
| Staffing | 2 | 3.2 | 3 |
| Quality measures | 2 | 3.92 | 5 |
| Certified beds | 82 | 122.1 | — |
| Citations on file (health + fire) | 171 | ~15.2 health* | — |
- AUTUMN LAKE HEALTHCARE AT ALICE MANOR — 3★ overall
- AUTUMN LAKE HEALTHCARE AT BRIDGEPARK — 2★ overall
- AUTUMN LAKE HEALTHCARE AT HOMEWOOD — 1★ overall
- AUTUMN LAKE HEALTHCARE AT LOCH RAVEN — 1★ overall
- AUTUMN LAKE HEALTHCARE AT LONG GREEN — 1★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| BRAND SONNENSCHINE LLP | ADP OF THE SNF | Organization | - | 12/15/2021 |
| A&R STERN FAMILY PA HOLDINGS LLC | ADP OF THE SNF | Organization | - | 02/01/2019 |
| ACCURATE STAFFING LLC | ADP OF THE SNF | Organization | - | 12/15/2021 |
| TEMESGEN, ADDISU M | ADP OF THE SNF | Individual | - | 04/01/2021 |
| STERN, ARYEH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 50.00 | 06/18/2019 |
| STERN, ARYEH | ADP OF THE SNF | Individual | - | 06/18/2019 |
| AWCC HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 06/18/2019 |
| SIYATA DSHMAYA LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 8.00 | 06/18/2019 |
| SIYATA DSHMAYA LLC | ADP OF THE SNF | Organization | - | 06/18/2019 |
| GIBSON, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/17/2019 |
| GIBSON, LISA | ADP OF THE SNF | Individual | - | 04/17/2019 |
| SCHWARTZ, MARK | CORPORATE OFFICER | Individual | - | 03/01/2025 |
| SCHWARTZ, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 12/15/2021 |
| MEISELS, MORRIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 42.00 | 06/18/2019 |
| MEISELS, MORRIS | ADP OF THE SNF | Individual | - | 06/18/2019 |
| AWCC REALTY HOLDCO LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | 100.00 | 06/18/2019 |
| AWCC REALTY HOLDCO LLC | ADP OF THE SNF | Organization | - | 06/18/2019 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
136 citations on file · Latest survey: 17 June 2025 · 100 health · 36 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-06-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-06-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-06-17 | F760 | D — Minimal harm, isolated | Health | Ensure that residents are free from significant medication errors. |
| 2025-06-17 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-06-17 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-06-17 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2025-06-17 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-06-17 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-06-17 | F600 | D — Minimal harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2025-06-17 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2025-06-17 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2025-06-17 | F584 | D — Minimal harm, isolated | Health | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. |
| 2022-05-06 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2022-05-06 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2022-05-06 | F921 | D — Minimal harm, isolated | Health | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2022-05-06 | F887 | E — Minimal harm, pattern | Health | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. |
| 2022-05-06 | F887 | E — Minimal harm, pattern | Health | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. |
| 2022-05-06 | F887 | E — Minimal harm, pattern | Health | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. |
| 2022-05-06 | F886 | E — Minimal harm, pattern | Health | Perform COVID19 testing on residents and staff. |
| 2022-05-06 | F886 | E — Minimal harm, pattern | Health | Perform COVID19 testing on residents and staff. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-06-17 | K271 | D — Minimal harm, isolated | Fire Safety | Have exits that are accessible at all times. |
| 2025-06-17 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-06-17 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-06-17 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2025-06-17 | E26 | D — Minimal harm, isolated | Fire Safety | Establish roles under a Waiver declared by secretary. |
| 2025-06-17 | E9 | D — Minimal harm, isolated | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2025-06-17 | E9 | D — Minimal harm, isolated | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2025-06-17 | E26 | D — Minimal harm, isolated | Fire Safety | Establish roles under a Waiver declared by secretary. |
| 2025-06-17 | K271 | D — Minimal harm, isolated | Fire Safety | Have exits that are accessible at all times. |
| 2025-06-17 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-06-17 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-06-17 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2025-06-17 | E26 | D — Minimal harm, isolated | Fire Safety | Establish roles under a Waiver declared by secretary. |
| 2025-06-17 | K271 | D — Minimal harm, isolated | Fire Safety | Have exits that are accessible at all times. |
| 2025-06-17 | K918 | F — Minimal harm, widespread | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-06-17 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-06-17 | K923 | D — Minimal harm, isolated | Fire Safety | Have proper medical gas storage and administration areas. |
| 2025-06-17 | E9 | D — Minimal harm, isolated | Fire Safety | Include a process for Emergency Preparedness collaboration. |
| 2022-05-06 | K761 | D — Minimal harm, isolated | Fire Safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2022-05-06 | E6 | D — Minimal harm, isolated | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 2 |
| RN Staffing Rating | 3 |
| Reported CNA Staffing Hours per Resident per Day | 2.22592 |
| Reported LPN Staffing Hours per Resident per Day | 1.35272 |
| Reported RN Staffing Hours per Resident per Day | 0.40583 |
| Reported Licensed Staffing Hours per Resident per Day | 1.75855 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.68906 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.03548 |
| Casemix CNA Staffing Hours per Resident per Day | 2.32099 |
| Casemix LPN Staffing Hours per Resident per Day | 0.80028 |
| Casemix RN Staffing Hours per Resident per Day | 0.37267 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.49393 |
| Adjusted CNA Staffing Hours per Resident per Day | 1.97987 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.27096 |
| Adjusted RN Staffing Hours per Resident per Day | 0.3813 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.46609 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2018-11-01 |
Date of Standard Health Survey (Cycle 2) | 2017-07-27 |
Total Number of Health Deficiencies (Cycle 1) | 13 |
Number of Standard Health Deficiencies (Cycle 1) | 12 |
Number of Complaint Health Deficiencies (Cycle 1) | 2 |
Health Deficiency Score (Cycle 1) | 48 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 48 |
Total Number of Health Deficiencies (Cycle 2) | 4 |
Number of Standard Health Deficiencies (Cycle 2) | 4 |
Number of Complaint Health Deficiencies (Cycle 2) | 4 |
Health Deficiency Score (Cycle 2) | 16 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 16 |
Date of Standard Health Survey (Cycle 3) | 2016-09-23 |
Total Number of Health Deficiencies (Cycle 3) | 13 |
Number of Standard Health Deficiencies (Cycle 3) | 8 |
Number of Complaint Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 48 |
Total Health Score (Cycle 3) | 48 |
Total Weighted Health Survey Score | 52 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 13 |
Number of Substantiated Complaints | 7 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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