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Autumn Lake Healthcare at Arlington West

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3939 Penhurst Avenue, Baltimore, MD 21215 (opens Google Maps) · Baltimore City County · (410) 664-9535· 82 certified beds · avg 73 residents/day · certified since Apr 4, 2005 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

What the abuse flag means →

Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5
Health inspection rating (on-site)
inspected Jun 17, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 45 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  2. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

  3. D · Potential for more than minimal harm, isolated

    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. F-0609

View all 45 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Jun 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
May 6, 2022F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 6, 2022E · Potential for more than minimal harm, patternThe 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. · F-0550
May 6, 2022E · Potential for more than minimal harm, patternThe 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. · F-0610
May 6, 2022E · Potential for more than minimal harm, patternThe 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. · F-0656
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 6, 2022E · Potential for more than minimal harm, patternThe 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. · F-0880
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not perform required COVID-19 testing on residents and staff. · F-0886
May 6, 2022E · Potential for more than minimal harm, patternThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not have working policies to ensure employees report any suspected crime against a resident on time, to post notices of employees' reporting rights, and to prevent retaliation against staff who report. · F-0608
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · F-0624
May 6, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0625
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
May 6, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0761
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791
May 6, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
May 6, 2022C · Potential for minimal harm, widespreadThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
May 6, 2022C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
May 6, 2022C · Potential for minimal harm, widespreadThe facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · F-0885
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0558
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · F-0559
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0610
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 1, 2018D · Potential for more than minimal harm, isolatedThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (29 → 4).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2018
All citations: 12
Serious citations (G–L): 0
2022
All citations: 29
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2018120D
2022290F
202540D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMaryland averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.32
Maryland average: 3.83
U.S. average: 3.95
Registered Nurse hours
This facility: 0.36
Maryland average: 0.83
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.92
Maryland average: 3.43
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMaryland avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.323.833.95bottom 33% in Maryland; bottom 27% in the U.S.
Registered Nurse hours0.360.830.69bottom 4% in Maryland; bottom 16% in the U.S.
Weekend total nurse staffing2.923.433.50bottom 26% in Maryland; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)0.330.630.48bottom 14% in Maryland; bottom 39% in the U.S.
Total nursing staff turnover (%)43.840.245.8bottom 41% in Maryland; top 47% in the U.S.
RN turnover (%)33.338.742.9top 34% in Maryland; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.61, RN 0.39, weekend 3.17.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.61 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Autumn Lake Healthcare at Arlington West. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Awcc Holdco LLCOrganization5% or Greater Direct Ownership Interest100%06/18/2019
Siyata Dshmaya LLCOrganization5% or Greater Indirect Ownership Interest8%06/18/2019
A&r Stern Family Pa Holdings LLCOrganizationADP of the SNFNOT APPLICABLE02/01/2019
Accurate Staffing LLCOrganizationADP of the SNFNOT APPLICABLE12/15/2021
Awcc Realty Holdco LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE06/18/2019
Awcc Realty Holdco LLCOrganizationADP of the SNFNOT APPLICABLE06/18/2019
Brand Sonnenschine LLPOrganizationADP of the SNFNOT APPLICABLE12/15/2021
Gibson, LisaIndividualOperational/Managerial ControlNOT APPLICABLE04/17/2019
Gibson, LisaIndividualADP of the SNFNOT APPLICABLE04/17/2019
Gluck, DavidIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/30/2025
Handler, SamuelIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/30/2025
Meisels, MorrisIndividualADP of the SNFNOT APPLICABLE06/18/2019
Sahar, OphirIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/30/2025
Schwartz, MarkIndividualCorporate OfficerNOT APPLICABLE03/01/2025
Schwartz, MarkIndividualOperational/Managerial ControlNOT APPLICABLE12/15/2021
Siyata Dshmaya LLCOrganizationADP of the SNFNOT APPLICABLE06/18/2019
Stern, AryehIndividualADP of the SNFNOT APPLICABLE06/18/2019
Temesgen, AddisuIndividualADP of the SNFNOT APPLICABLE04/01/2021

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Autumn Lake Healthcare — 59 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 58 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Maryland midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 84 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Autumn Lake Healthcare at Bridgepark0.7 miBaltimore, MD★★☆☆☆2/5
Northwest Healthcare Center1.0 miBaltimore, MD★★★★☆4/5
Blue Point Healthcare Center1.3 miBaltimore, MD★★★☆☆2/5
Lochearn Nursing Home, LLC1.4 miBaltimore, MD★★★★★4/5
Levindale Hebrew Ger Ctr & HSP1.5 miBaltimore, MD★★☆☆☆2/5
Autumn Lake Healthcare at Alice Manor1.8 miBaltimore, MD★★★☆☆3/5
Roland Park Rehabilitation and Healthcare Center2.3 miBaltimore, MD★★★☆☆2/5
Resorts of Augsburg2.3 miBaltimore, MD★★☆☆☆2/5
King David Nursing and Rehabilitation Center2.5 miBaltimore, MD★★☆☆☆2/5abuse
Keswick Multi-Care Center2.9 miBaltimore, MD★★★★☆3/5
Maryland Baptist Aged Home3.1 miBaltimore, MD★★★☆☆3/5
Future Care Sandtown-Winchester3.3 miBaltimore, MD★★★★☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Baltimore City, MD — 27 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Baltimore →

Facility data as of CMS processing date 2026-08-01. CCN 215349.

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