Advanced Rehab at Autumn Lake Healthcare
515 Brightfield Road, Lutherville, MD 21093 · Baltimore County · 110 certified beds · avg 82 residents/day · certified since Oct 22, 1990
Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)
4/5
Health inspection rating (on-site)
1
Serious findings on record
$8,021
Fines, last 3 years
3.64
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 8, 2024 (Past Non-Compliance)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 28, 2024 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jun 28, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 11, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 11, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 3, 2019 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Sep 3, 2019 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Sep 3, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 3, 2019 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2024 | 16 | 1 | J ▲ |
| 2025 | 13 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,021.
| Date | Type | Amount / length |
|---|---|---|
| Jan 11, 2024 | Fine | $8,021 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Maryland avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.64 | 3.83 | 3.95 | top 43% in Maryland; bottom 44% in the U.S. |
| Registered Nurse hours | 0.48 | 0.83 | 0.69 | bottom 14% in Maryland; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.34 | 3.43 | 3.50 | top 40% in Maryland; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.63 | 0.48 | bottom 47% in Maryland; top 34% in the U.S. |
| Total nursing staff turnover (%) | 62.2 | 40.2 | 45.8 | bottom 4% in Maryland; bottom 13% in the U.S. |
| RN turnover (%) | 53.8 | 38.7 | 42.9 | bottom 18% in Maryland; bottom 30% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.66, RN 0.62, weekend 4.28. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 515 Brightfield Road Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2023 |
| As Family SD Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 58% | 06/01/2023 |
| 515 Brightfield Road Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 04/01/2023 |
| 515 Brightfield Road Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| As Family SD Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| M Meisels Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| McChensey, Cathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| McChensey, Cathy | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Raghunath, Arun | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Raghunath, Arun | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Stern, Rochel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/26/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumn Lake Healthcare at Ruxton | 1.8 mi | Towson, MD | ★★☆☆☆ | 2/5 | |
| Chestnut GRN HLTH Ctr Blakehur | 2.3 mi | Towson, MD | ★★★★★ | 4/5 | |
| Pickersgill Retirement Community | 2.4 mi | Towson, MD | ★★★★☆ | 4/5 | |
| Orchard Hill Rehabilitation and Healthcare Center | 2.9 mi | Towson, MD | ★★☆☆☆ | 2/5 | |
| Complete Care at Multi Medical Center LLC | 3.5 mi | Towson, MD | ★★★★★ | 4/5 | |
| Levindale Hebrew Ger Ctr & HSP | 3.6 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Edenwald | 3.6 mi | Towson, MD | ★★★★★ | 5/5 | |
| Blue Point Healthcare Center | 3.7 mi | Baltimore, MD | ★★★☆☆ | 2/5 | |
| Holly Hill Healthcare Center | 3.7 mi | Towson, MD | ★★☆☆☆ | 1/5 | abuse |
| Lorien Mays Chapel | 3.7 mi | Timonium, MD | ★★★★☆ | 4/5 | |
| Autumn Lake Healthcare at Pikesville | 3.8 mi | Pikesville, MD | ★★☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Long Green | 3.8 mi | Baltimore, MD | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
All facilities in Lutherville →
Facility data as of CMS processing date 2026-08-01. CCN 215226.