Autumn Lake Healthcare at Arlington West

Nursing Home · Baltimore, MD

CMS overall rating 2/5 Abuse citation For profit - Limited Liability company

CMS certification number215349
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

3939 Penhurst Avenue
Baltimore, MD 21215
Baltimore City County
Phone
(410) 664-9535
ZIP code
21215 – all care providers

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Facility details

Certified beds
82
Residents per day
72.5 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
Arlington West Care Center Opco LLC
Chain
Autumn Lake Healthcare (59 facilities, avg 2.8★)
Medicare certified since
April 4, 2005
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 3/5
State avg 3.9
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.61 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.39 (state 0.84 · U.S. 0.69)
Licensed practical nurses
1.36 (state 0.91 · U.S. 0.86)
Nurse aides
1.86 (state 2.12 · U.S. 2.32)
Weekend total
3.17 (state 3.47 · U.S. 3.42)
Nursing staff turnover
43.8 (state 40.2 · U.S. 45.8)%
RN turnover
33.3 (state 38.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 17, 2025
Health deficiencies (last cycle)
4.0 (state 17.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
45 health · 12 fire safety
DateCitationSeverityStatus
2025-06-17 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-29
2025-06-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-29
2025-06-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-29
2025-06-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-29
2022-05-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Perform COVID19 testing on residents and staff.
F0886 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 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.
F0887 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 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.
F0608 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 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.
F0622 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-07-05
2022-05-06 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.
F0585 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2022-07-05
2022-05-06 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2022-07-05
2022-05-06 Report COVID19 data to residents and families.
F0885 · Infection Control Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2022-07-05
2018-11-01 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
F0559 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08
2018-11-01 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2018-12-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Awcc Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
Siyata Dshmaya LLC (organization)5%+ Indirect Ownership Interest · 8%
Awcc Realty Holdco LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
A&R Stern Family PA Holdings LLC (organization)Administrator · NOT APPLICABLE
Accurate Staffing LLC (organization)Administrator · NOT APPLICABLE
Awcc Realty Holdco LLC (organization)Administrator · NOT APPLICABLE
Brand Sonnenschine LLP (organization)Administrator · NOT APPLICABLE
Gibson, Lisa (individual)Administrator · NOT APPLICABLE
Meisels, Morris (individual)Administrator · NOT APPLICABLE
Siyata Dshmaya LLC (organization)Administrator · NOT APPLICABLE
Stern, Aryeh (individual)Administrator · NOT APPLICABLE
Temesgen, Addisu (individual)Administrator · NOT APPLICABLE
Schwartz, Mark (individual)Corporate Officer · NOT APPLICABLE
Gluck, David (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Handler, Samuel (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Sahar, Ophir (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Gibson, Lisa (individual)Operational/managerial Control · NOT APPLICABLE
Schwartz, Mark (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Autumn Lake Healthcare at Arlington West?

Autumn Lake Healthcare at Arlington West has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Autumn Lake Healthcare at Arlington West have?

It has 82 certified beds and cares for about 73 residents per day.

Has Autumn Lake Healthcare at Arlington West been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Autumn Lake Healthcare at Arlington West?

It is part of Autumn Lake Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Autumn Lake Healthcare at Arlington West?

(410) 664-9535. The facility is located at 3939 Penhurst Avenue, Baltimore, MD 21215.

Other nursing homes in Baltimore

Compare all nursing homes in Baltimore, MD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.