3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 2095 Rockrose Ave in Baltimore’s Woodberry neighborhood, Autumn Lake Healthcare at Alice Manor operates as a 105-bed skilled nursing community under independent ownership by Alice Operator LLC. The facility has served residents for 33 years. Administrator John Rajakumar leads operations.
Care includes 24/7 skilled nursing, physical and occupational therapy, speech pathology, restorative care, bereavement counseling, diabetes management, and tracheostomy services, with psychiatry, wound care, and physiatry consultation.
Current residents are predominantly Medicaid-funded (81.1%), with admission patterns weighted toward Medicaid (40%), private pay (35%), and Medicare (24%). Average stay runs 137 days. Occupancy at 81.7% aligns with state average.
The facility recorded 55 citations since 2018; 6.9 annually, a rate 1280% above Maryland’s typical 0.5 per year.
Two complaint investigations in 2024–2025 documented critical deficiencies. The May 2025 survey found an unsecured biohazard storage room, understaffing substantiated by multiple resident and staff interviews, and nursing personnel unaware of AED locations. The November 2024 complaint investigation uncovered an unclean environment, verbal abuse by one staff member affecting three residents, four instances of delayed abuse reporting, 15 incidents inadequately investigated, and one medication error of grave severity: an agency-supplied nurse administered methadone to a patient not prescribed it, resulting in hospital admission.
Recurring deficiency patterns across 2018–2025 inspections implicate Resident Rights (22% of total citations), Quality of Life and Care (22%), and Pharmacy Services (13%).
The facility carries a 1-star CMS overall rating.
Daily nursing care totals 3 hours 28 minutes per resident, 19% below Maryland standard. Registered nurse presence is critically low at 15 minutes daily, 70% beneath state expectation.
The facility maintains 386 staff members, but contractor labor dominates the nursing workforce: 107 of 117 LPNs and 152 of 205 CNAs work under contract, representing 36% of total hours and raising continuity and quality concerns.
Depression affects 71.7% of long-stay residents, a 255% elevation above state prevalence. Functional decline scores run 13% worse than state. Conversely, urinary tract infection rates stand at zero, and 55.1% of residents successfully return to community settings post-discharge.
The facility maintains 4.0% operating margin but experienced occupancy erosion and income decline from 2022 to 2023.
No federal penalties appear in recent records, though complaint investigation severity may signal enforcement pending.
The facility is positioned for long-term Medicaid residents in an established urban location; recent substantive compliance findings, high depressive symptom prevalence, critical staffing shortfalls, and documented serious medication errors constitute material operational risks.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 12m per day | ▼ 76% State avg: 50m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 10m per day | ▲ 30% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 13% State avg: 2h 10m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 3m per day | ▼ 12% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 30% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 51% State avg: 37m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
In Maryland, the Department of Health, Office of Health Care Quality is the state agency that conducts unannounced inspections and issues reports for all assisted living and nursing facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Maryland state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | MD Average | vs. MD Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 55 | 4 | This facility has 1275% more total citations than a typical Maryland nursing home (55 vs. MD avg 4).↑ 1275% worse |
|
Citations per year
Average citations per year since 2018.
| 6.9 | 0.5 | This facility has 1280% more citations per year than a typical Maryland nursing home (6.9 vs. MD avg 0.5).↑ 1280% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Maryland average 3.9
Last Health inspection on May 2025
Maryland average 49.9
Maryland average 12.81
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
28 of 54 citations resulted from standard inspections; 14 of 54 resulted from complaint investigations; and 12 of 54 came from combined inspections (standard and complaint).
100% better than Maryland averageMaryland average: 0.5
67% worse than Maryland averageMaryland average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
136% more staff per resident than Maryland average
6% better than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
26 total: 3 full-time employees and 23 contractors.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
117 total: 10 full-time employees and 107 contractors.
117
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursHelps with daily care and mobility.
205 total: 53 full-time employees and 152 contractors.
205
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
12,618 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 152 | 205 | 15,636 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 10 | 107 | 117 | 8,992 | 92 | 100% | 10.5 |
| Physical Therapist | 7 | 0 | 7 | 2,166 | 92 | 100% | 7.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,192 | 68 | 74% | 7.8 |
| Registered Nurse | 3 | 23 | 26 | 1,186 | 66 | 72% | 9.4 |
| Medication Aide/Technician | 3 | 0 | 3 | 879 | 70 | 76% | 11.7 |
| Dietitian | 2 | 0 | 2 | 869 | 80 | 87% | 7.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 512 | 69 | 75% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 457 | 63 | 68% | 7.3 |
| Qualified Social Worker | 0 | 4 | 4 | 457 | 59 | 64% | 6.2 |
| Dental Services Staff | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 445 | 59 | 64% | 7.3 |
| Other Dietary Services Staff | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 362 | 55 | 60% | 6.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 52 | 10 | 11% | 5.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.8
7% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
13% worse than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
28.7%
21% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
28.9%
In line with Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.5%
14% worse than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
88% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
6.6%
In line with Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
4.7%
19% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
71.7%
255% worse than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
5.3%
59% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
In line with Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.00
24% better than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.11
8% better than Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.6%
In line with Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.0%
In line with Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.6%
In line with Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.6%
13% better than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.2%
19% worse than Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.1%
9% better than Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Autumn Lake Healthcare at Alice Manor from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (40% of admissions), and a typical Medicaid stay runs around 10 - 11 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.6 miles from city center
Estimated distance in miles from Baltimore's city center to Autumn Lake Healthcare at Alice Manor's address, calculated via Google Maps.
— 1.48 miles to nearest hospital (Sinai Hospital)
Add your location
The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Maryland Baptist Aged Home | NH HC NC RC | Baltimore (Mosher) | 29
Facility
29
MD AVG
43
Rank
#254 / 697 | 87.8% | +7% | 3.97 | -21% | +5% | $0 | 44
Facility
44
MD AVG
49.9
Rank
#84 / 149 | 14.7 | - | 26 | - |
84
Facility
84
MD AVG
43
Rank
#66 / 985 | Derrick Dewitt | $2.3M | $1.5M | 65.3%
Facility
65.3%
MD AVG
38.5%
Rank
#7 / 148 | 215360 | ||||
| Autumn Lake Healthcare at Alice Manor | NH HC PC RC | Baltimore (Woodberry) | 105
Facility
105
MD AVG
43
Rank
#107 / 697 | 81.7% | -1% | 3.47 | -51% | -8% | $0 | 54 | 13.5 | 1 | 95 | - |
59
Facility
59
MD AVG
43
Rank
#327 / 985 | Alice Operator LLC | $12.2M | $1.7M | 14.3% | 215215 | ||||
| Resorts of Augsburg | NH AL IL | Baltimore (Gwynn Oak) | 131
Facility
131
MD AVG
43
Rank
#64 / 697 | 89.4% | +9% | 4.17 | -11% | +11% | $23.9k | 37
Facility
37
MD AVG
49.9
Rank
#62 / 149 | 12.3 | - | 120 | - |
18
Facility
18
MD AVG
43
Rank
#756 / 985 | - | $16.8M | $11.8M | 70%
Facility
70%
MD AVG
38.5%
Rank
#10 / 148 | 215193 | ||||
| Autumn Lake Healthcare at BridgePark | NH HC PC RC | Baltimore (Central Forest Park) | 106
Facility
106
MD AVG
43
Rank
#105 / 697 | 88.9% | +8% | 3.77 | -4% | 0% | $0 | 71
Facility
71
MD AVG
49.9
Rank
#123 / 149 | 17.8 | 1 | 84 | B- |
69
Facility
69
MD AVG
43
Rank
#199 / 985 | Bp Capital | $15.7M | $1.2M | 7.8% | 215195 | ||||
| Autumn Lake Healthcare at Homewood Center | NH PC RC | Baltimore (Homeland) | 112
Facility
112
MD AVG
43
Rank
#95 / 697 | 84.3% | +2% | 3.37 | -44% | -11% | $0 | 72 | 24.0 | - | 104 | - |
81
Facility
81
MD AVG
43
Rank
#86 / 985 | 56 West Frederick Holdco LLC | $14.2M | $1.1M | 7.7% | 215074 |
Autumn Lake Healthcare at Alice Manor is located in Baltimore, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Autumn Lake Healthcare at Alice Manor is in the Woodberry neighborhood of Baltimore.
Autumn Lake Healthcare at Alice Manor has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Autumn Lake Healthcare at Alice Manor's occupancy is 81.7%.
Autumn Lake Healthcare at Alice Manor is registered as a for-profit in MD.
Yes — there are 7 photos of Autumn Lake Healthcare at Alice Manor in the photo gallery on this page.
Autumn Lake Healthcare at Alice Manor is located at 2095 Rockrose Ave, Baltimore, MD 21211.
(410) 889-9700 will put you in contact with the team at Autumn Lake Healthcare at Alice Manor.
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