Autumn Lake Healthcare at Waugh Chapel

Name: Autumn Lake Healthcare at Waugh Chapel
Address: 1221 WAUGH CHAPEL ROAD, Gambrills, MD, 21054, US
Telephone: 4109232020

1221 Waugh Chapel Road, Gambrills, MD 21054 · Anne Arundel County · 110 certified beds · avg 106 residents/day · certified since Jul 1, 1983

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

2.89

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: 5/5

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 (31)

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 30, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jun 30, 2026	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. · from a complaint
May 6, 2026	E · Potential for harm, repeated	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.
May 6, 2026	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.
May 6, 2026	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.
May 6, 2026	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.
May 6, 2026	D · Potential for harm, one-off	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.
May 6, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 6, 2026	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.
May 6, 2026	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.
May 6, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 19, 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
Mar 17, 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.
Mar 17, 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.
Mar 17, 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
Mar 17, 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
Mar 17, 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.
Mar 17, 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.
Mar 17, 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.
Mar 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 3, 2020	E · Potential for harm, repeated	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.
Feb 3, 2020	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 3, 2020	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.
Feb 3, 2020	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.
Feb 3, 2020	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.
Feb 3, 2020	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.
Feb 3, 2020	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 3, 2020	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 3, 2020	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 3, 2020	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.
Feb 3, 2020	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 9).

Year	Citations	Worst severity that year
2020	11	E
2025	9	E
2026	11	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)	2.89	3.83	3.95	bottom 3% in Maryland; bottom 10% in the U.S.
Registered Nurse hours	0.50	0.83	0.69	bottom 19% in Maryland; bottom 38% in the U.S.
Weekend total nurse staffing	2.56	3.43	3.50	bottom 2% in Maryland; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.63	0.48	bottom 23% in Maryland; bottom 47% in the U.S.
Total nursing staff turnover (%)	45.7	40.2	45.8	bottom 36% in Maryland; bottom 48% in the U.S.
RN turnover (%)	31.6	38.7	42.9	top 32% in Maryland; top 32% 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 3.64, RN 0.63, weekend 3.23. 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: 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
1221 Waugh Chapel Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2021
Hatzlacha Rabbah LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	05/01/2021
MD12 Equities LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	05/01/2021
Stern, Aryeh	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/01/2021
Accurate Staffing LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2021
Brand Sonnenschine LLP	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2021
Eidlisz, Solomon	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/27/2025
Gluck, Rivka	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/27/2025
Hefter, Tzvi	Individual	Operational/Managerial Control	NOT APPLICABLE	07/10/2023
Hefter, Tzvi	Individual	ADP of the SNF	NOT APPLICABLE	07/10/2023
Ryan, Jacqueline	Individual	Operational/Managerial Control	NOT APPLICABLE	02/10/2025
Ryan, Jacqueline	Individual	ADP of the SNF	NOT APPLICABLE	02/10/2025
Schwartz, Mark	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2021

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?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Where do you post your daily staffing numbers, and can I see today's?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"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 Crofton	2.1 mi	Crofton, MD	★★★★☆	3/5
Fairfield Nursing & Rehabilitation Center	4.1 mi	Crownsville, MD	★★☆☆☆	2/5
Complete Care at Severna Park LLC	6.5 mi	Severna Park, MD	★★★☆☆	2/5	abuse
Future Care Annapolis	6.9 mi	Annapolis, MD		—/5
Larkin Chase Center	7.3 mi	Bowie, MD	★★★★★	4/5
Autumn Lake Healthcare at Baltimore Washington	7.4 mi	Glen Burnie, MD	★★☆☆☆	2/5
Ginger Cove	8.5 mi	Annapolis, MD	★★★★☆	5/5
Marley Neck Rehabilitation and Wellness Center	9.2 mi	Glen Burnie, MD	★★★★☆	3/5
Future Care Chesapeake	9.5 mi	Arnold, MD	★★★★★	5/5
South River Rehabilitation and Wellness Center	9.6 mi	Edgewater, MD	★★★★☆	3/5
Autumn Lake Healthcare at Glen Burnie	9.6 mi	Glen Burnie, MD	★☆☆☆☆	1/5
Autumn Lake Healthcare at Cherry Lane	9.7 mi	Laurel, MD	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Gambrills →

Facility data as of CMS processing date 2026-08-01. CCN 215148.

The Care File

Visit checklist — Autumn Lake Healthcare at Waugh Chapel

1221 Waugh Chapel Road, Gambrills, MD 21054 · 4109232020

Health inspection rating 4/5 · CMS overall 5/5· 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?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "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 215148 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)