01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-17 | 4 | 2025-06-17 | 6 |
| Cycle 2 | 2022-05-06 | 29 | 2022-05-06 | 6 |
| Cycle 3 | 2018-11-01 | 12 | 2018-11-01 | 0 |
CMS CCN 2153492026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Autumn Lake Healthcare At Arlington West
3939 Penhurst Avenue · Baltimore, MD 21215 · Baltimore City County
Certified beds82CMS provider file
Recent citation rows57current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
57 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-06-17 · FIREE0009Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-06-17 · FIREE0026Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-06-17 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2025-07-292025-06-17 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-07-29 · complaint2025-06-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-292025-06-17 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-07-292025-06-17 · FIREK0271Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-10-292025-06-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-11-042025-06-17 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-09-012025-06-17 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-09-012022-05-06 · FIREE0006Severity D · isolated; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2022-06-172022-05-06 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0585Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0608Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0610Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0622Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0624Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2022-07-052022-05-06 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2022-07-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AWCC HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/18/2019
- SIYATA DSHMAYA LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST8% · since 06/18/2019
- AWCC REALTY HOLDCO LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/18/2019
- SCHWARTZ, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2025
- GIBSON, LISAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/17/2019
- SCHWARTZ, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/15/2021
- GLUCK, DAVIDIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/30/2025
- HANDLER, SAMUELIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/30/2025
- SAHAR, OPHIRIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 04/30/2025
- A&R STERN FAMILY PA HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2019
- ACCURATE STAFFING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/15/2021
- AWCC REALTY HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- BRAND SONNENSCHINE LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/15/2021
- SIYATA DSHMAYA LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- GIBSON, LISAIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/17/2019
- MEISELS, MORRISIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- STERN, ARYEHIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- TEMESGEN, ADDISUIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.61per resident day
RN hours0.39per resident day
Weekend nurse hours3.17per resident day
Staff turnover43.8%CMS reported field
06 / LOCAL RECORDS
Open the Baltimore ledger →Other published facilities nearby
Autumn Lake Healthcare At Alice Manor105 beds · CMS overall 3/586 citation rowsAutumn Lake Healthcare At Bridgepark106 beds · CMS overall 2/581 citation rowsAutumn Lake Healthcare At Homewood112 beds · CMS overall 1/5106 citation rowsAutumn Lake Healthcare At Loch Raven113 beds · CMS overall 2/5115 citation rowsAutumn Lake Healthcare At Long Green135 beds · CMS overall 1/5116 citation rowsAutumn Lake Healthcare At Overlea160 beds · CMS overall 2/597 citation rowsAutumn Lake Healthcare At Parkville135 beds · CMS overall 4/587 citation rowsAutumn Lake Healthcare At Perring Parkway125 beds · CMS overall 3/579 citation rows