Autumn Lake Healthcare at Pikesville
7 Sudbrook Lane, Pikesville, MD 21208 · Baltimore County · 140 certified beds · avg 117 residents/day · certified since Jun 29, 1976
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: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 11, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 3, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (61)
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 |
|---|---|---|
| Jun 18, 2025 | E · Potential for harm, repeated | 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. |
| Jun 18, 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. |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jun 18, 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. |
| Jun 18, 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. |
| Jun 18, 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. |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | 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. |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 11, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | The facility did not have enough backup water supply for essential areas of the building. |
| Aug 11, 2022 | F · Potential for harm, facility-wide | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 11, 2022 | E · Potential for harm, repeated | The 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Aug 11, 2022 | E · Potential for harm, repeated | 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. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 11, 2022 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | 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. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 11, 2022 | 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not perform required COVID-19 testing on residents and staff. |
| Aug 11, 2022 | D · Potential for harm, one-off | The 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. |
| Aug 11, 2022 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Aug 11, 2022 | C · Minimal risk, facility-wide | The 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. |
| Dec 21, 2018 | D · Potential for harm, one-off | The 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. |
| Dec 21, 2018 | 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. |
| Dec 21, 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. |
| Dec 21, 2018 | 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 decreased between the last two inspection cycles (47 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2022 | 47 | 1 | J ▲ |
| 2025 | 10 | 0 | E |
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) | 3.71 | 3.83 | 3.95 | top 40% in Maryland; bottom 47% in the U.S. |
| Registered Nurse hours | 0.57 | 0.83 | 0.69 | bottom 29% in Maryland; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.43 | 3.50 | top 42% in Maryland; bottom 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.68 | 0.63 | 0.48 | top 28% in Maryland; top 17% in the U.S. |
| Total nursing staff turnover (%) | 47.9 | 40.2 | 45.8 | bottom 31% in Maryland; bottom 42% in the U.S. |
| RN turnover (%) | 26.7 | 38.7 | 42.9 | top 22% in Maryland; top 24% 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 3.72, RN 0.57, weekend 3.33. 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: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 4260 Group LLC | Organization | 5% or Greater Direct Ownership Interest | 17% | 08/01/2018 |
| King David Equities LLC | Organization | 5% or Greater Direct Ownership Interest | 12% | 08/01/2018 |
| The Markstein Group LLC | Organization | 5% or Greater Direct Ownership Interest | 6% | 08/01/2018 |
| 4260 Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Eisenreich, Ahron | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/16/2019 |
| Eisenreich, Ahron | Individual | ADP of the SNF | NOT APPLICABLE | 01/16/2019 |
| King David Equities LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Markstein, Aaron | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/23/2025 |
| Markstein, Isaac | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Meisels, Morris | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Pikesville Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2018 |
| Pikesville Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Salazar, Andres | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2018 |
| Salazar, Andres | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Stern, Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2018 |
| Stern, Bezalel | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| King David Nursing and Rehabilitation Center | 0.8 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | abuse |
| Courtland, LLC | 1.5 mi | Baltimore, MD | ★☆☆☆☆ | 1/5 | abuse |
| Resorts of Augsburg | 1.7 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Lochearn Nursing Home, LLC | 2.3 mi | Baltimore, MD | ★★★★★ | 4/5 | |
| North Oaks Communities | 2.5 mi | Baltimore, MD | ★★★★☆ | 5/5 | |
| Future Care Old Court | 3.3 mi | Randallstown, MD | ★★★★★ | 5/5 | |
| Autumn Lake Healthcare at Arlington West | 3.3 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | abuse |
| Blue Point Healthcare Center | 3.4 mi | Baltimore, MD | ★★★☆☆ | 2/5 | |
| Levindale Hebrew Ger Ctr & HSP | 3.5 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Bridgepark | 3.8 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Advanced Rehab at Autumn Lake Healthcare | 3.8 mi | Lutherville, MD | ★★★★☆ | 4/5 | |
| Northwest Healthcare Center | 3.8 mi | Baltimore, MD | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 215082.