Autumn Lake Healthcare at Calvert Manor
1881 Telegraph Road, Rising Sun, MD 21911 · Cecil County · 144 certified beds · avg 137 residents/day · certified since Jun 1, 1989
Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
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 |
|---|---|---|
| May 26, 2026 | D · Potential for harm, one-off | The 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. · from a complaint |
| Dec 10, 2025 | D · Potential for harm, one-off | The 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. · from a complaint |
| Dec 10, 2025 | 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 |
| Apr 2, 2025 | E · Potential for harm, repeated | 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 |
| Apr 2, 2025 | 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 |
| Apr 2, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Apr 2, 2025 | E · Potential for harm, repeated | 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. |
| Apr 2, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 2, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 2, 2025 | D · Potential for harm, one-off | 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 |
| Apr 2, 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. |
| Apr 2, 2025 | D · Potential for harm, one-off | The 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. |
| Apr 2, 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. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Dec 17, 2018 | 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. |
| Dec 17, 2018 | D · Potential for harm, one-off | The 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. |
| Dec 17, 2018 | 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. |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Dec 17, 2018 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 9 | 0 | D |
| 2025 | 23 | 0 | E |
| 2026 | 1 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.11 | 3.83 | 3.95 | bottom 14% in Maryland; bottom 18% in the U.S. |
| Registered Nurse hours | 0.60 | 0.83 | 0.69 | bottom 35% in Maryland; top 48% in the U.S. |
| Weekend total nurse staffing | 2.86 | 3.43 | 3.50 | bottom 18% in Maryland; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.63 | 0.48 | bottom 33% in Maryland; top 44% in the U.S. |
| Total nursing staff turnover (%) | 49.3 | 40.2 | 45.8 | bottom 27% in Maryland; bottom 39% in the U.S. |
| RN turnover (%) | 34.5 | 38.7 | 42.9 | top 41% in Maryland; top 38% 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 3.28, RN 0.63, weekend 3.01. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 1881 Telegraph Road Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2022 |
| 1881 Telegraph Road Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| 1881 Telegraph Road Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2022 |
| 1881 Telegraph Road Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Accurate Staffing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| As Family MD4 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Dunn, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| M Meisels Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Najera, Margaret | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/06/2022 |
| Najera, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2022 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Oxford Health Center | 5.6 mi | Oxford, PA | ★★★★☆ | 4/5 | |
| Laurelwood Healthcare Center | 9.8 mi | Elkton, MD | ★★★☆☆ | 2/5 | |
| Preston Residence | 9.9 mi | West Grove, PA | ★★★★★ | 4/5 | |
| Elkton Nursing and Rehabilitation Center | 11.4 mi | Elkton, MD | ★☆☆☆☆ | 1/5 | abuseSFF |
| Newark Manor Nursing Home | 11.7 mi | Newark, DE | ★★★☆☆ | 2/5 | abuse |
| Exceptional Care for Children | 12.1 mi | Newark, DE | ★★★★★ | 5/5 | |
| Lorien Bulle Rock | 12.2 mi | Havre de Grace, MD | ★★★★★ | 5/5 | |
| Citizens Care Center | 12.3 mi | Havre de Grace, MD | ★★★★★ | 4/5 | |
| Encore at Parkside | 13.1 mi | Newark, DE | ★★☆☆☆ | 1/5 | SFF |
| Twin Pines Health Care Center | 14.0 mi | West Grove, PA | ★★★★☆ | 3/5 | |
| Pike Creek Nursing & Rehabilitation Center | 15.2 mi | Wilmington, DE | ★★☆☆☆ | 1/5 | SFF |
| Complete Care at Brackenville LLC | 15.4 mi | Hockessin, DE | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 215189.