01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-24 | 16 | 2025-11-24 | 11 |
| Cycle 2 | 2023-03-21 | 21 | 2023-03-21 | 20 |
| Cycle 3 | 2019-04-09 | 9 | 2019-04-09 | 4 |
CMS CCN 2153302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Autumn Lake Healthcare Post-Acute Care Center
5009 Frankford Avenue · Baltimore, MD 21206 · Baltimore City County
Certified beds225CMS provider file
Recent citation rows81current 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
81 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 24 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-04 · 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 · 2026-06-01 · complaint2026-03-11 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2026-04-06 · complaint2026-03-11 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-06 · complaint2026-03-11 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-04-06 · complaint2026-01-20 · 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 · 2026-02-26 · complaint2025-11-24 · 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 · 2025-12-232025-11-24 · 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 · 2025-12-232025-11-24 · 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 · 2025-12-23 · complaint2025-11-24 · HEALTHF0658Severity E · pattern; 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 · 2025-12-23 · complaint2025-11-24 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-24 · 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 · 2025-12-232025-11-24 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-24 · 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 · 2025-12-232025-11-24 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-11-24 · 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 · 2025-12-23 · complaint2025-11-24 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-232025-11-24 · 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 · 2025-12-23 · complaint2025-11-24 · 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 · 2025-12-232025-11-24 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-11-24 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2026-01-302025-11-24 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-01-302025-11-24 · FIREK0347Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2026-01-302025-11-24 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-01-302025-11-24 · FIREK0362Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2026-01-3003 / 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
- PACC 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
- PACC REALTY HOLDCO LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 06/18/2019
- SCHWARTZ, MARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2025
- FENELON, JASONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/11/2022
- SALAZAR, ANDRESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/18/2019
- SCHWARTZ, MARKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- GLUCK, RIVKAIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/23/2025
- HANDLER, SAMUELIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/08/2025
- SAHAR, OPHIRIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/08/2025
- A&R STERN FAMILY PA HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- PACC REALTY HOLDCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- SIYATA DSHMAYA LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- FENELON, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/11/2022
- MEISELS, MORRISIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/18/2019
- SALAZAR, ANDRESIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/18/2019
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 hours3.99per resident day
RN hours0.82per resident day
Weekend nurse hours3.54per resident day
Staff turnover21.8%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 Arlington West82 beds · CMS overall 2/557 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 rows