4/5
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.
4/5
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.
A home where robust historical surroundings meet quality senior care, Autumn Lake Healthcare at Birch Manor in Sykesville celebrates each unique individual with respect and professionalism. The premier nursing home combines state-of-the-art technologies with highly-trained care staff, providing residents with a hassle-free and peaceful healing period.
Undoubtedly, Autumn Lake at Birch Manor is where many choose to relax and recover in a good place for a good time. The person-centered services offer comprehensive programs that successfully care for even challenging medical conditions. With an emphasis on short-term and long-term care, seniors receive professional care in therapy (speech, occupational, physical), orthopedic care, wound care, trach management, pain management, stroke recovery, diabetes management, memory care, and podiatry care– among many others.
Autumn Lake Healthcare at Birch Manor is an independently owned and operated healthcare center that is licensed to use the Autumn Lake Healthcare name and receive non-healthcare related services. All healthcare-related services are provided solely by Autumn Lake Healthcare at Birch Manor.
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.
| 28m per day | ▼ 44% 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 5m per day | ▲ 20% 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 55m per day | ▼ 12% 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 6m per day | ▼ 11% 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.
| 3m per day | ▼ 45% 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.
| 21m per day | ▼ 44% State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident than Maryland average
6% worse 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.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
All 50 CNA Staff are full-time employees. No contractors work on this role.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,188 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 0 | 50 | 18,953 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 24 | 0 | 24 | 9,718 | 92 | 100% | 7.8 |
| Physical Therapist | 10 | 0 | 10 | 3,697 | 92 | 100% | 7 |
| Registered Nurse | 13 | 0 | 13 | 3,284 | 92 | 100% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 968 | 66 | 72% | 7.5 |
| Physical Therapy Assistant | 0 | 6 | 6 | 944 | 69 | 75% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 923 | 63 | 68% | 8.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 879 | 64 | 70% | 7.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 596 | 63 | 68% | 6.3 |
| Dental Services Staff | 1 | 0 | 1 | 475 | 63 | 68% | 7.5 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 453 | 65 | 71% | 7 |
| Qualified Activities Professional | 1 | 0 | 1 | 447 | 60 | 65% | 7.4 |
| Dietitian | 1 | 0 | 1 | 444 | 61 | 66% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 375 | 52 | 57% | 7.2 |
| Qualified Social Worker | 0 | 2 | 2 | 140 | 39 | 42% | 3.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 76 | 51 | 55% | 1.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 56 | 12 | 13% | 3.5 |
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.
11.1
14% better than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
7% better 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
27.7%
17% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
15.2%
45% better than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.2%
13% worse than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
13% worse than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
3.5%
46% better than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
1.0%
35% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
6.6%
14% worse than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
5.3%
74% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
8.5%
35% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
8% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.16
64% worse than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
11% 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
94.1%
20% better than 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
92.0%
14% better than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
In line with Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
41% worse than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
136% worse than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
17% worse than Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.0%
11% 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.
50% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents 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 Birch Manor from 2012–2023, 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 typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (50% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
17.8 miles from city center
Estimated distance in miles from Sykesville's city center to Autumn Lake Healthcare at Birch Manor's address, calculated via Google Maps.
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Autumn Lake Healthcare at Long View | NH PC | Westminster (Main Street) | 109
Facility
109
MD AVG
43
Rank
#102 / 697 | 94.0% | +14% | 3.64 | -65% | -4% | $0 | 28
Facility
28
MD AVG
49.9
Rank
#30 / 149 | 7.0 | - | 99 | A+ |
54
Facility
54
MD AVG
43
Rank
#380 / 985 | 3332 Main Street Holdco LLC | $15.6M | $2.4M | 15.7% | 215017 | ||||
| Autumn Lake Healthcare at Birch Manor | NH NC PC RC | Sykesville (Hawk Ridge) | 118
Facility
118
MD AVG
43
Rank
#86 / 697 | 87.1% | +6% | 3.40 | -26% | -10% | $0 | 84
Facility
84
MD AVG
49.9
Rank
#136 / 149 | 21.0 | - | 108 | - |
41
Facility
41
MD AVG
43
Rank
#508 / 985 | 7309 Second Avenue Opco LLC | $14.9M | $2.1M | 14.2% | 215136 | ||||
| Westminster Healthcare Center | NH AL IL MC | Westminster (Washington Road) | 170
Facility
170
MD AVG
43
Rank
#24 / 697 | 70.5% | -14% | 3.82 | +69% | +1% | $63.7k | 68
Facility
68
MD AVG
49.9
Rank
#122 / 149 | 13.6 | 1 | 112 | - |
12
Facility
12
MD AVG
43
Rank
#802 / 985 | - | $15.1M | $7.7M | 51.1%
Facility
51.1%
MD AVG
38.5%
Rank
#28 / 148 | 215094 |
Autumn Lake Healthcare at Birch Manor is located in Sykesville, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Autumn Lake Healthcare at Birch Manor is in the Hawk Ridge neighborhood of Sykesville.
Autumn Lake Healthcare at Birch Manor has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Autumn Lake Healthcare at Birch Manor's occupancy is 87.1%.
Autumn Lake Healthcare at Birch Manor is registered as a for-profit in MD.
Yes — there are 2 photos of Autumn Lake Healthcare at Birch Manor in the photo gallery on this page.
Autumn Lake Healthcare at Birch Manor is located at 7309 2Nd Ave, Sykesville, MD 21784.
(410) 795-1100 will put you in contact with the team at Autumn Lake Healthcare at Birch Manor.
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