Total health inspections
4
Maryland average 3.9
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Autumn Lake Healthcare at Birch Manor
Nursing Home in Westminster
CMS overall rating
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.
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.
Autumn Lake Healthcare at Birch Manor
Nursing Home in Westminster
CMS overall rating
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.
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.
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.
Quality ratings
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.
Staffing hours breakdown
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 nursing care / resident
This home is ranked 60th out of 112 homes in Maryland.
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.
This home is ranked 60th out of 112 homes in Maryland.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.
3h 24m per day
vs Maryland avg
-10%
| Staff type | Hours / day | 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.
| 26m per day | ▼ 48% State avg: 50m per day · National avg: 41m 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 53m per day | ▼ 13% State avg: 2h 10m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 2m per day | ▼ 13% 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 | ▼ 40% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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 |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
118
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.1%
Avg. Length of Stay
137 days
Occupancy rate
87.1%
Avg. Length of Stay
137 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
50% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
26% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.8M
Operating loss
-$766.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$15.8M
Operating loss
-$766.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.5M
Walk Score: 41 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
Long-Term Living
Specific ProgramsShort-Term Rehab, Long-Term Living, Physical Therapy, Occupational Therapy, Speech/Language Therapy, Dialysis, Stroke Recovery, Diabetes Management, Pain Management, Bariatric Patients, Trach Management Care, Wound Care, Colostomy Care, Podiatry Care, Joint Replacement/Orthopedic Care, Secured Unit, Respite/Hospice Care, Palliative Care
Types of Care at Autumn Lake Healthcare at Birch Manor
Memory Care
Nursing Home
Respite Care
Health Inspection History
Inspections
Total health citations
84
Maryland average 49.9
Citations per inspection
21
Maryland average 12.81
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
77 of 84 citations resulted from standard inspections; 2 of 84 resulted from complaint investigations; and 5 of 84 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Maryland averageMaryland average: 0.5
Serious Health citations
0
0
100% better than Maryland averageMaryland average: 0.6
0 critical citations
0 serious citations
81 moderate citations
3 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 11, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 11, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 11, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 11, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 11, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 11, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 11, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 11, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Westminster The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
Filter by care type
| Autumn Lake Healthcare at Long View |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Westminster (Main Street) | 108 | 94.0% | +14% | 3.64 | -64% | -4% | 0 | 28 | 7.0 | 0 | 101 | A+ | 54 | 3332 Main Street Holdco Llc | $16.7M | $2.1M | 12.6% | 215017 | ||||
| Autumn Lake Healthcare at Birch Manor |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Sykesville (Hawk Ridge) | 118 | 87.1% | +6% | 3.40 | -31% | -10% | 0 | 84 | 21.0 | 0 | 109 | - | 41 | 7309 Second Avenue Opco Llc | $15.7M | $1.9M | 11.9% | 215136 | ||||
| Westminster Healthcare Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Westminster (Washington Road) | 158 | 70.5% | -14% | 3.82 | +100% | +1% | 1 | 68 | 13.6 | 1 | 116 | - | 12 | - | $16.7M | $6.9M | 41.3% | 215094 | ||||
| Atlee Hill Skilled Nursing & Rehabilitation Facility |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Westminster | 60 | 91.9% | +12% | 3.69 | -8% | -2% | 1 | 67 | 22.3 | 1 | 56 | - | 44 | Lbh Carroll County Nursing And Rehablititation Llc | $9.9M | $3.7M | 37.5% | 215247 |
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Places of interest near Autumn Lake Healthcare at Birch Manor
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.
— 12.42 miles to nearest hospital (Johns Hopkins University Cardiologist Center)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
121
Employees
101
Contractors
20
Staff to resident ratio
1.07:1
41% worse than Maryland averageMaryland average ratio: 1.81:1
Avg staff/day
57
Average shift
7.6 hours
5% worse than Maryland averageMaryland average: 8 hours
Total staff hours (quarter)
39,613
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.6%
2,621 contractor hours this quarter
Physical Therapy Assistant: 7
Qualified Social Worker: 6
Physical Therapy Aide: 4
Speech Language Pathologist: 2
Respiratory Therapy Technician: 1
Staff by category
| Certified Nursing Assistant | 47 | 0 | 47 | 17,644 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 27 | 0 | 27 | 9,472 | 91 | 100% | 7.9 |
| Registered Nurse | 11 | 0 | 11 | 3,607 | 91 | 100% | 7.7 |
| Physical Therapy Assistant | 0 | 7 | 7 | 1,047 | 67 | 74% | 7.7 |
| Mental Health Service Worker | 2 | 0 | 2 | 969 | 72 | 79% | 7.3 |
| RN Director of Nursing | 2 | 0 | 2 | 930 | 65 | 71% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 857 | 63 | 69% | 7.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 718 | 65 | 71% | 6.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 655 | 72 | 79% | 6.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 490 | 63 | 69% | 7.8 |
| Qualified Activities Professional | 1 | 0 | 1 | 481 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 477 | 64 | 70% | 7.4 |
| Dietitian | 1 | 0 | 1 | 473 | 63 | 69% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 473 | 63 | 69% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 458 | 61 | 67% | 7.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 428 | 56 | 62% | 7.7 |
| Qualified Social Worker | 0 | 6 | 6 | 191 | 47 | 52% | 3.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 176 | 28 | 31% | 5.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 70 | 48 | 53% | 1.5 |
47 Certified Nursing Assistant
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
100%
7 Physical Therapy Assistant
% of Days
74%
2 Mental Health Service Worker
% of Days
79%
2 RN Director of Nursing
% of Days
71%
2 Clinical Nurse Specialist
% of Days
69%
2 Speech Language Pathologist
% of Days
71%
3 Other Dietary Services Staff
% of Days
79%
1 Respiratory Therapy Technician
% of Days
69%
1 Qualified Activities Professional
% of Days
70%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
69%
1 Nurse Practitioner
% of Days
69%
1 Dental Services Staff
% of Days
67%
1 Medication Aide/Technician
% of Days
62%
6 Qualified Social Worker
% of Days
52%
4 Physical Therapy Aide
% of Days
31%
1 Occupational Therapy Aide
% of Days
53%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113
Medicare
19
16.8% of residents
Medicaid
86
76.1% of residents
Private pay or other
8
7.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.1
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.0
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.7%
Percent of long-stay residents whose need for help with daily activities has increased
27.7%
17% worse than Maryland averageMaryland average: 23.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.2%
Percent of long-stay residents whose ability to move independently worsened
15.2%
45% better than Maryland averageMaryland average: 27.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.2%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
13% worse than Maryland averageMaryland average: 2.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
46% better than Maryland averageMaryland average: 6.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
35% better than Maryland averageMaryland average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
14% worse than Maryland averageMaryland average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.3%
Percent of long-stay residents who have depressive symptoms
5.3%
74% better than Maryland averageMaryland average: 20.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.5%
Percent of long-stay residents who received an antipsychotic medication
8.5%
35% better than Maryland averageMaryland average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
8% better than Maryland averageMaryland average: 92.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.16
Number of hospitalizations per 1,000 long-stay resident days.
2.16
64% worse than Maryland averageMaryland average: 1.32
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
11% better than Maryland averageMaryland average: 1.21
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.1%
20% better than Maryland averageMaryland average: 78.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Maryland averageMaryland average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
14% better than Maryland averageMaryland average: 80.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
In line with Maryland averageMaryland average: 21.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
41% worse than Maryland averageMaryland average: 9.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
136% worse than Maryland averageMaryland average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
17% worse than Maryland averageMaryland average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
56.0%
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.
Financial Trends
Historical financial and operational data for Autumn Lake Healthcare at Birch Manor based on CMS SNF Cost Reports.
Occupancy Rate
87.1%
↑ 5.6pp vs 2022
Net Income
-$766.9K
↓ ~$7.6K vs 2022
Total Payroll
$8.1M
↑ ~$4.5M vs 2022
Profit Margin
-4.9%
↑ 7.5pp vs 2022
Loading trend charts...
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