Autumn Lake Healthcare At Spa Creek faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 31th percentile among Maryland nursing homes, suggesting significant room for improvement.
Staffing at Autumn Lake Healthcare At Spa Creek is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 62 deficiencies at Autumn Lake Healthcare At Spa Creek, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: keep all essential equipment working safely..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.78 | 3.8 | Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.43 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.83 | 2.4 | Below Average |
| Weekend Total Nursing | 3.42 | 3.8 | Below Average |
| Weekend RN Hours | 0.39 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0908 Severity FKeep all essential equipment working safely.Aug 5, 2025 · Environmental Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Aug 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJun 3, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Jun 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jun 3, 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 | 3.9% | 4.5% | Better |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 2.5% | 14.5% | Better |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 20.2% | 14.0% | Worse |
| Excessive weight loss | 2.4% | 7.5% | Better |
| New/worsened incontinence | 24.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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