Autumn Lake Healthcare at Crofton
2131 Davidsonville Road, Crofton, MD 21114 · Anne Arundel County · 180 certified beds · avg 156 residents/day · certified since Jan 1, 1980
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: 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.
All citations in the current public record (37)
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 |
|---|---|---|
| Sep 25, 2025 | F · Potential for harm, facility-wide | 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. |
| Sep 25, 2025 | F · Potential for harm, facility-wide | 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. |
| Sep 25, 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. |
| Sep 25, 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. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 25, 2025 | D · Potential for harm, one-off | 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 |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 25, 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). |
| Sep 25, 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. |
| Sep 25, 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. |
| Sep 25, 2025 | 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. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Sep 25, 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 |
| Sep 25, 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. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. |
| Sep 25, 2025 | D · Potential for harm, one-off | The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. |
| Feb 20, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 20, 2024 | D · Potential for harm, one-off | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Feb 20, 2024 | 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. |
| Feb 20, 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 |
| Feb 20, 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. |
| Feb 20, 2024 | 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. |
| Feb 20, 2024 | 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. |
| Feb 20, 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. |
| Feb 20, 2024 | 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. |
| Feb 20, 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. |
| Feb 20, 2024 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Feb 20, 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 |
| Feb 20, 2024 | 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. |
| Mar 25, 2019 | 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. |
| Mar 25, 2019 | 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. |
| Mar 25, 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. |
| Mar 25, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (13 → 18).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2024 | 13 | 0 | D |
| 2025 | 20 | 0 | F |
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) | 3.35 | 3.83 | 3.95 | bottom 37% in Maryland; bottom 29% in the U.S. |
| Registered Nurse hours | 0.42 | 0.83 | 0.69 | bottom 7% in Maryland; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.43 | 3.50 | bottom 34% in Maryland; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.63 | 0.48 | bottom 10% in Maryland; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 42.7 | 40.2 | 45.8 | bottom 46% in Maryland; top 44% in the U.S. |
| RN turnover (%) | 20.0 | 38.7 | 42.9 | top 11% in Maryland; top 13% 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 4.07, RN 0.51, weekend 3.63. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| A&r Stern Family CC Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 77% | 08/01/2021 |
| Stern, Aryeh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2021 |
| 2131 Davidsonville Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2021 |
| 2131 Davidsonville Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| A&r Stern Family CC Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Accurate Staffing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2025 |
| Brand Sonnenschine LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2025 |
| Meisels, Morris | Individual | ADP of the SNF | NOT APPLICABLE | 08/18/2021 |
| Mugera, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2017 |
| Mugera, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 05/10/2017 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2021 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Stern, Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Stern, Rochel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Wheat, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/04/2010 |
| Wheat, Mary | Individual | ADP of the SNF | NOT APPLICABLE | 01/04/2010 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "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 Waugh Chapel | 2.1 mi | Gambrills, MD | ★★★★★ | 4/5 | |
| Fairfield Nursing & Rehabilitation Center | 4.3 mi | Crownsville, MD | ★★☆☆☆ | 2/5 | |
| Larkin Chase Center | 5.4 mi | Bowie, MD | ★★★★★ | 4/5 | |
| Future Care Annapolis | 5.8 mi | Annapolis, MD | —/5 | ||
| Ginger Cove | 7.5 mi | Annapolis, MD | ★★★★☆ | 5/5 | |
| Complete Care at Severna Park LLC | 7.8 mi | Severna Park, MD | ★★★☆☆ | 2/5 | abuse |
| South River Rehabilitation and Wellness Center | 8.3 mi | Edgewater, MD | ★★★★☆ | 3/5 | |
| Villa Rosa Nursing and Rehabilitation, LLC | 9.0 mi | Mitchellville, MD | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Baltimore Washington | 9.4 mi | Glen Burnie, MD | ★★☆☆☆ | 2/5 | |
| Future Care Chesapeake | 10.0 mi | Arnold, MD | ★★★★★ | 5/5 | |
| Doctors Community Rehabilitation and Patient Care | 10.0 mi | Lanham, MD | ★★★☆☆ | 3/5 | |
| Autumn Lake Healthcare at Spa Creek | 10.2 mi | Annapolis, MD | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 215120.