Autumn Lake Healthcare at Long View

Name: Autumn Lake Healthcare at Long View
Address: 3332 MAIN STREET, Manchester, MD, 21102, US
Telephone: 4102397139

3332 Main Street, Manchester, MD 21102 · Carroll County · 109 certified beds · avg 97 residents/day · certified since Jan 1, 1967

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.69

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.

All citations in the current public record (30)

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 1, 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.
Dec 1, 2025	D · Potential for harm, one-off	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.
Dec 1, 2025	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.
Dec 1, 2025	D · Potential for harm, one-off	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.
Jun 26, 2025	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 26, 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 22, 2024	E · Potential for harm, repeated	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.
Apr 22, 2024	E · Potential for harm, repeated	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
Apr 22, 2024	E · Potential for harm, repeated	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
Apr 22, 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.
Apr 22, 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.
Apr 22, 2024	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. · from a complaint
Apr 22, 2024	D · Potential for harm, one-off	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.
Apr 22, 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.
Apr 22, 2024	D · Potential for harm, one-off	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.
Apr 22, 2024	D · Potential for harm, one-off	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.
Apr 22, 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.
Apr 22, 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.
Apr 22, 2024	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. · from a complaint
Apr 22, 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.
Apr 22, 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.
Apr 22, 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.
Apr 22, 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.
Apr 25, 2019	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Apr 25, 2019	D · Potential for harm, one-off	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.
Apr 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.
Apr 25, 2019	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.
Apr 25, 2019	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 25, 2019	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.
Apr 25, 2019	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 4).

Year	Citations	Worst severity that year
2019	7	D
2024	17	E
2025	6	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)	3.69	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, 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. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

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

Questions to ask on your visit

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?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"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
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 →

All facilities in Manchester →

Facility data as of CMS processing date 2026-08-01. CCN 215017.

The Care File

Visit checklist — Autumn Lake Healthcare at Long View

3332 Main Street, Manchester, MD 21102 · 4102397139

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215017 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)