Autumn Lake Healthcare At Birch Manor is an average performer in CMS ratings, earning a C grade with a score of 63/100. Located in Sykesville, Maryland, the facility meets baseline standards across most quality metrics.
With 3.39 total nurse hours per resident per day, Autumn Lake Healthcare At Birch Manor falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 85 deficiencies at Autumn Lake Healthcare At Birch Manor. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.39 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.07 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.88 | 2.4 | Below Average |
| Weekend Total Nursing | 3.04 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Nov 19, 2025 · Environmental Deficiencies
- Tag 0657 Severity FDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Jun 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Jun 10, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 10, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 10, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.0% | 4.5% | Better |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 10.5% | 14.5% | Better |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 23.5% | 14.0% | Worse |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 26.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 63 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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