Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Lake Healthcare At Arlington West during CMS and state inspections, most recent first.
A resident’s prescribed ophthalmic drops were not consistently administered or documented as ordered. MAR review showed missed, blank, and incorrectly coded doses for multiple eye medications, including doses marked as sleeping or not available, while the resident reported not receiving the drops consistently after eye surgery and ophthalmology notes documented significant inflammation tied to inconsistent use. The DON acknowledged the resident’s allegations and stated the resident had refused care and made false statements about care.
A facility failed to follow care plans and ordered fall-prevention interventions for multiple residents. One resident was transferred by staff without the required Hoyer lift, another was observed without ordered protective devices and had conflicting care plan interventions related to call light use and cognition, and a third resident slid during a Hoyer lift transfer when the pad was not correctly positioned. The DON and NHA confirmed the transfer and positioning failures.
Medication carts contained unidentified loose pills and expired or undated medication bottles, and a resident with chronic spastic tetraplegia did not receive ordered Zanaflex when it was unavailable. Staff found the medication was on back order, but no substitute or change in plan was made after the issue was identified.
A resident reported being forcibly handled, yelled at, and having a pillow placed over his face by a GNA. The facility investigated the allegation, substantiated the abuse, and reported the incident to the appropriate authorities.
Missed Eye Drop Administration
Penalty
Summary
The facility failed to assist a resident in receiving prescribed eye drops to maintain vision. During complaint review and resident interview, the resident stated ongoing concern that eye drops were not being provided as ordered. Ophthalmology documentation noted significant inflammation after left eye surgery and stated the resident reported not receiving eye drops consistently. Review of the MARs showed multiple missed or undocumented doses of ophthalmic medications, including prednisolone acetate, latanoprost, dorzolamide, and difluprednate, with some doses left blank, coded as sleeping, or documented as not available. The record also showed inconsistencies in how the eye medications were administered. One order for difluprednate was written to start on the same day as a duplicate order with different directions, and the medication was signed out as given on a schedule that did not match the later every-2-hours-while-awake instruction until that order was discontinued. The DON stated he was aware of the resident’s allegations that the eye drops were not being given as ordered and said the resident had refused care and made false statements about care. The surveyor reviewed missed documentation of the eye drops that supported the resident’s concerns.
Failure to Follow Transfer and Fall-Prevention Care Plans
Penalty
Summary
The facility failed to implement interventions that were identified as necessary for residents who were dependent and at risk for falls. For one resident, the care plan required two staff members and use of a Hoyer lift for transfers, but the resident reported being transferred by two staff without the lift. The grievance investigation confirmed the resident was transferred without the Hoyer lift, and the NHA acknowledged that the resident was not transferred according to the care plan and that both staff involved were from different departments. The resident’s care plan also identified a fall risk related to increased need for assistance with transfers. Another resident had a history of multiple falls and orders for protective devices, including hipsters, a soft helmet, and a left arm brace, but the surveyor observed the resident without the helmet, arm brace, or hipsters while up in a wheelchair. The resident’s care plan included interventions to keep the call light in reach and also stated the resident had impaired cognition and could not comprehend how to use a call bell, requiring staff to anticipate needs; these interventions conflicted. A third resident had a fall-related care plan with increased need for assistance with transfers, and the record showed that during a Hoyer lift transfer the pad was not correctly positioned under the resident, causing the resident to begin sliding out of the wheelchair and be lowered to the ground by staff. The DON confirmed the pad was misplaced.
Medication Storage and Availability Deficiencies
Penalty
Summary
The facility failed to provide pharmaceutical services that met residents’ needs by allowing medication carts to contain unidentified loose medications and expired or undated medication bottles. During medication administration observations on the 2nd floor, surveyors found loose pills at the bottom of medication cart drawers, including 5 unidentified loose medications in one cart and at least 22 unidentified loose medications in another. Surveyors also observed a bottle of Acetaminophen 500 mg/15 mL with an expiration date in 2025 that was not clearly readable, and 2 bottles of Chlorhexidine Gluconate Oral Rinse without an expiration date. Staff acknowledged the concerns when notified, and the DON was informed of the findings. The facility also failed to ensure that Resident #48 received medication according to the prescribed regimen. Resident #48 had chronic spastic tetraplegia with a self-care deficit care plan related to ADLs. Zanaflex was ordered as needed for muscle spasms, discontinued, and then reordered with the same instructions. A progress note documented that staff contacted the pharmacy and were told the medication was on back order, and the resident’s RP and provider were updated, but no substitute or change in plan was made after the medication was found to be unavailable. The resident later asked for Zanaflex and was told it was not available.
Failure to Protect Resident from Abuse by GNA
Penalty
Summary
A resident reported that a Geriatric Nursing Assistant (GNA) entered his room, forcibly turned and positioned him, yelled at him, and placed a pillow over his face. The incident was reported by the resident to facility staff, and the facility initiated an investigation into the allegation. The investigation included an interview with the resident's roommate and a review of the circumstances surrounding the incident. The facility substantiated the allegation of abuse following their investigation. Documentation confirmed that the incident was reported to the Maryland Board of Nursing (MBON), and the GNA involved was placed on a do not return staffing list. The facility's Administrator confirmed the substantiated finding of abuse during an interview with the surveyor.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Baltimore
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lake Healthcare At Bridgepark | 0.7 mi | ★★★★★ | 2 | 0 |
| Northwest Healthcare Center | 1 mi | ★★★★★ | 18 | 0 |
| Blue Point Healthcare Center | 1.3 mi | ★★★★★ | 27 | 0 |
| Lochearn Nursing Home, Llc | 1.4 mi | ★★★★★ | 12 | 0 |
| Levindale Hebrew Ger Ctr & Hsp | 1.5 mi | ★★★★★ | 11 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.