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No fines or payment denials in the published 3-year window.
3332 Main Street, Manchester, MD 21102 (opens Google Maps) · Carroll County · (410) 239-7139· 109 certified beds · avg 97 residents/day · certified since Jan 1, 1967 · 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 →
Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.
Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. F-0645
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. F-0812
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 1, 2025 | 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 |
| Dec 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Dec 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Dec 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Jun 26, 2025 | 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. · from a complaint · F-0609 |
| Jun 26, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Apr 22, 2024 | E · Potential for more than minimal harm, pattern | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Apr 22, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0656 |
| Apr 22, 2024 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0657 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Apr 22, 2024 | 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 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0602 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | The 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 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0757 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Apr 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | The 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 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 25, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
Citations from standard inspections decreased between the last two inspection cycles (17 → 4).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | D |
| 2024 | 17 | 0 | E |
| 2025 | 6 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Maryland avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 3.83 | 3.95 | top 42% in Maryland; bottom 46% in the U.S. |
| Registered Nurse hours | 0.62 | 0.83 | 0.69 | bottom 38% in Maryland; top 45% in the U.S. |
| Weekend total nurse staffing | 3.39 | 3.43 | 3.50 | top 36% in Maryland; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.63 | 0.48 | bottom 23% in Maryland; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 40.2 | 45.8 | bottom 24% in Maryland; bottom 38% in the U.S. |
| RN turnover (%) | 33.3 | 38.7 | 42.9 | top 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 3.96, RN 0.67, weekend 3.63.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.96 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Autumn Lake Healthcare at Long View. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 3332 Main Street Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| As Family MD4 Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| M Meisels Family Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| 3332 Main Street Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| 3332 Main Street Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2022 |
| 3332 Main Street 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 | 05/26/2025 |
| 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 |
| Hill, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/07/2015 |
| Hill, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 12/07/2019 |
| M Meisels Family Holdings LLC | Organization | 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 |
| Stern, Aryeh | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/26/2025 |
| Stern, Rochel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/26/2025 |
| Zibell, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2012 |
| Zibell, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Concordia at Spiritrust Utz Terrace | 6.3 mi | Hanover, PA | ★★★★★ | 4/5 | |
| Atlee Hill Health and Rehab Center | 9.1 mi | Westminster, MD | ★★☆☆☆ | 2/5 | |
| Carroll Lutheran Village | 9.4 mi | Westminster, MD | ★★★★★ | 4/5 | |
| Homewood Living Plum Creek, INC | 10.0 mi | Hanover, PA | ★★★★★ | 4/5 | |
| Westminster Rehabilitation and Wellness Center | 10.3 mi | Westminster, MD | ★★☆☆☆ | 2/5 | abuse |
| Hanover Hall for Nursing and Rehabilitation | 10.6 mi | Hanover, PA | ★★☆☆☆ | 2/5 | |
| Lorien Taneytown, INC | 14.6 mi | Taneytown, MD | ★★★☆☆ | 3/5 | |
| Future Care Cherrywood | 15.3 mi | Reisterstown, MD | ★★★★★ | 4/5 | |
| Maryland Masonic Homes LTD | 16.7 mi | Cockeysville, MD | ★★★☆☆ | 2/5 | |
| Broadmead | 16.9 mi | Cockeysville, MD | ★★★★★ | 5/5 | |
| Cross Keys Village-Brethren Home Community, the | 18.4 mi | New Oxford, PA | ★★★★☆ | 4/5 | |
| Lorien Mays Chapel | 18.5 mi | Timonium, MD | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Carroll, MD — 10 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.
Facility data as of CMS processing date 2026-08-01. CCN 215017.
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