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CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION

NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES

CMS CCN 2153152026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Autumn Lake Healthcare At Oak Manor

3415 Greencastle Road · Burtonsville, MD 20866 · Montgomery County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation

Certified beds145CMS provider file

Recent citation rows54current CMS citation release

Penalty rows1current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

Cycle	Health date	Health deficiencies	Fire date	Fire deficiencies
Cycle 1	2026-04-07	17	2026-04-07	7
Cycle 2	2025-02-19	13	2025-02-19	3
Cycle 3	2020-10-20	10	2020-10-20	4

02 / CITATION DETAIL

54 rows in the current release

1 rows carry G–L scope/severity codes; 1 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-29 · HEALTHF0550Severity D · isolated; 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 · 2026-06-30 · complaint

2026-05-29 · 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 · 2026-06-30 · complaint

2026-05-29 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2026-06-30 · complaint

2026-04-07 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0569Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · 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 · 2026-05-25

2026-04-07 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0641Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · 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 · 2026-05-25

2026-04-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0825Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · HEALTHF0887Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Correction field: Deficient, Provider has date of correction · 2026-05-25

2026-04-07 · FIREK0223Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · FIREK0341Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · FIREK0500Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Meet other general requirements that are deficient.

Correction field: Deficient, Provider has date of correction · 2026-06-12

2026-04-07 · FIREK0781Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Correction field: Deficient, Provider has date of correction · 2026-06-12

03 / 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
2025-07-01	Fine	$11,381	0

04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

3415 GREENCASTLE ROAD HOLDCO LLCOrganization · DIRECT OWNERSHIP INTEREST
NOT APPLICABLE · since 08/01/2022
AS FAMILY MD4 HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTEREST
NOT APPLICABLE · since 08/01/2022
M MEISELS FAMILY HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTEREST
NOT APPLICABLE · since 08/01/2022
3415 GREENCASTLE ROAD PROPCO LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
NOT APPLICABLE · since 08/01/2022
SCHWARTZ, MARKIndividual · CORPORATE OFFICER
NOT APPLICABLE · since 08/01/2022
KYLER, BENJAMINIndividual · OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE · since 02/26/2024
SABAPATHI, RAMESHIndividual · OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE · since 10/01/2023
SCHWARTZ, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROL
NOT APPLICABLE · since 08/01/2022
3415 GREENCASTLE ROAD HOLDCO LLCOrganization · ADP OF THE SNF
NOT APPLICABLE · since 08/01/2022
3415 GREENCASTLE ROAD PROPCO LLCOrganization · ADP OF THE SNF
NOT APPLICABLE · since 08/01/2022
ACCURATE STAFFING LLCOrganization · ADP OF THE SNF
NOT APPLICABLE · since 08/01/2022
AS FAMILY MD4 HOLDINGS LLCOrganization · ADP OF THE SNF
NOT APPLICABLE · since 08/01/2022
BRAND SONNENSCHINE LLPOrganization · ADP OF THE SNF
NOT APPLICABLE · since 08/01/2022
M MEISELS FAMILY HOLDINGS LLCOrganization · ADP OF THE SNF
NOT APPLICABLE · since 05/01/2021
KYLER, BENJAMINIndividual · ADP OF THE SNF
NOT APPLICABLE · since 02/26/2024
SABAPATHI, RAMESHIndividual · ADP OF THE SNF
NOT APPLICABLE · since 10/01/2023

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 hours3.63per resident day

RN hours0.64per resident day

Weekend nurse hours3.33per resident day

Staff turnover38.7%CMS reported field

06 / LOCAL RECORDS

Other published facilities nearby

Open the Maryland ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.