Autumn Lake Healthcare at Crofton
Nursing Home & Respite Care · Annapolis, MD
CMS overall rating Info 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.

Autumn Lake Healthcare at Crofton

Nursing Home & Respite Care · Annapolis, MD
CMS overall rating Info 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.
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Autumn Lake Healthcare at Crofton accepts Medicare, Medicaid, and private pay.

Overview of Autumn Lake Healthcare at Crofton

Nestled within the serene suburban enclave of Crofton, Autumn Lake Crofton offers continuous, skilled nursing support for a diverse range of complex medical conditions, ensuring residents receive attentive care 24/7. Senior individuals seek refuge in Autumn Lake Crofton to find solace, regain their strength, and experience revitalization under the expert and compassionate care of the dedicated rehabilitative team.
In addition to its sub-acute rehabilitation services, this facility is celebrated for its unwavering commitment to long-term care. For more than three decades, this cherished care provider has played an essential role in the community. Autumn Lake offers advanced care programs for complex medical conditions, with a dedicated staff ready to assist senior residents every step of the way.

Autumn Lake Healthcare at Crofton 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 Crofton.

(410) 721-1000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 31.5% Above MD avg. ▲ 31.5% Above MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 6.5% Above MD avg. ▲ 6.5% Above MD avg.MD average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
At MD avg. At MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 35.3% Above MD avg. ▲ 35.3% Above MD avg.MD average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Maryland state averages

Total nursing care / resident Info 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 22m per day
This facility Maryland avg (3h 46m per day)
vs Maryland avg
-11%

3 of 6 metrics below state avg

Standout metric LPN / LVN is +30% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 30m per day ▼ 39% State avg: 49m per day · National avg: 41m per day
LPN / LVN Info 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 11m per day ▲ 30% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 23m per day ▲ 12% State avg: 2h 8m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 43m per day ▲ 6% State avg: 3h 31m per day · National avg: 3h 27m per day
Physical Therapist Info 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. 5m per day ▼ 7% State avg: 6m per day · National avg: 4m per day
Weekend RN Info 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 ▼ 49% State avg: 37m per day · National avg: 29m per day

Capacity and availability

This home usually has limited availability

Higher occupancy than the Maryland average: 82.4%
Occupancy rate
88%
Avg. Length of Stay
67 days
Bed community size
180-bed community Rank #19 / 697Bed count — State benchmarkedThis home is ranked 19th out of 697 homes in Maryland. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 41 / 100 Rank #508 / 985Walk Score — State benchmarkedThis home is ranked 508th out of 985 homes in Maryland. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Maryland facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsGood Times, Preparing your stay

Contact Autumn Lake Healthcare at Crofton

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 426
Employees 146
Contractors 280
Staff to resident ratio 2.66 : 1
47% more staff per resident than Maryland average
Maryland average ratio: 1.81 : 1 Maryland average ratio: 1.81 : 1See full Maryland ranking
Avg staff/day 91
Average shift 8.5 hours
6% better than Maryland average
Maryland average: 8 hours Maryland average shift: 8 hoursSee full Maryland ranking
Total staff hours (quarter) 71,391

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 79 total: 15 full-time employees and 64 contractors. 79
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 96 total: 35 full-time employees and 61 contractors. 96
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 173 total: 65 full-time employees and 108 contractors. 173
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

24.2%

17,245 contractor hours this quarter

Certified Nursing Assistant: 108 Registered Nurse: 64 Licensed Practical Nurse: 61 Physical Therapy Assistant: 12 Qualified Social Worker: 11 Physical Therapy Aide: 9 Respiratory Therapy Technician: 7 Speech Language Pathologist: 5 Mental Health Service Worker: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6510817333,10792100%8.9
Licensed Practical Nurse35619615,99592100%9.2
Registered Nurse1564794,97892100%8
Medication Aide/Technician6062,0768693%10
Clinical Nurse Specialist4041,9246470%7.9
Speech Language Pathologist0551,7657177%7.8
Physical Therapy Assistant012121,7528491%7.2
Other Dietary Services Staff7071,60892100%7
Physical Therapy Aide0991,5637480%7.2
RN Director of Nursing4041,4467582%7.9
Respiratory Therapy Technician0771,3288693%7.1
Occupational Therapy Aide5051,0797683%6.5
Mental Health Service Worker2137235964%7.3
Qualified Social Worker011115306874%5.4
Administrator1014956267%8
Nurse Practitioner1014395661%7.8
Dental Services Staff1014395560%8
Occupational Therapy Assistant011821213%6.8
Medical Director011622527%2.5
173 Certified Nursing Assistant
% of Days 100%
96 Licensed Practical Nurse
% of Days 100%
79 Registered Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 93%
4 Clinical Nurse Specialist
% of Days 70%
5 Speech Language Pathologist
% of Days 77%
12 Physical Therapy Assistant
% of Days 91%
7 Other Dietary Services Staff
% of Days 100%
9 Physical Therapy Aide
% of Days 80%
4 RN Director of Nursing
% of Days 82%
7 Respiratory Therapy Technician
% of Days 93%
5 Occupational Therapy Aide
% of Days 83%
3 Mental Health Service Worker
% of Days 64%
11 Qualified Social Worker
% of Days 74%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 61%
1 Dental Services Staff
% of Days 60%
1 Occupational Therapy Assistant
% of Days 13%
1 Medical Director
% of Days 27%

Penalties and fines

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.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 17.6
36% worse than Maryland average

Maryland average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 36.0
40% worse than Maryland average

Maryland average: 25.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.0%
18% worse than Maryland average

Maryland average: 23.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 51.9%
87% worse than Maryland average

Maryland average: 27.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.1%
8% worse than Maryland average

Maryland average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
57% better than Maryland average

Maryland average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.0%
54% better than Maryland average

Maryland average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
69% better than Maryland average

Maryland average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
25% better than Maryland average

Maryland average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.9%
81% better than Maryland average

Maryland average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 7.6%
41% better than Maryland average

Maryland average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Maryland average

Maryland average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
In line with Maryland average

Maryland average: 96.6%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
25% better than Maryland average

Maryland average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
79% better than Maryland average

Maryland average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
23% better than Maryland average

Maryland average: 80.6%

Breakdown by payment type

Medicare

73% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

20% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 160
Medicare
53
33.1% of residents
Medicaid
84
52.5% of residents
Private pay or other
23
14.4% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Privately-owned community
Operated by a single business entity.
Net patient revenue Info 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."
$27.2M
Net patient income Info 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."
$1.1M
Privately-owned community Operated by a single business entity.
Net patient revenue Info 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."
$27.2M
Net patient income Info 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."
$1.1M
Other income Info 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.
$233.7K
Payroll costs Info 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.
$3.0M 11.1% of net patient revenue Info 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.
Other operating costs Info 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).
$23.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$26.1M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (73% of admissions), and a typical Medicare stay runs around 26 days.

Admissions
877 total

Coverage residents most often arrive under.

Medicare 73%
Private pay 20%
Medicaid 7%
Discharges
866 total

Coverage residents most often leave under.

Medicare 65%
Private pay 26%
Medicaid 9%

Places of interest near Autumn Lake Healthcare at Crofton

Address 0.8 miles from city center Info Estimated distance in miles from Crofton's city center to Autumn Lake Healthcare at Crofton's address, calculated via Google Maps. — 8.04 miles to nearest hospital (Luminis Health Anne Arundel Medical Center)

Calculate Travel Distance to Autumn Lake Healthcare at Crofton

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Address

Compare Nursing Homes around Annapolis

The information below is reported by the Maryland Department of Health, Office of Health Care Quality.

5 facilities compared · CMS & MD Dept. of Health data

Complete Care at Annapolis
NH
HC
PC
RC
Annapolis
97
Facility 97
MD AVG 43
Rank #139 / 697
79.4% -4%3.26 -3%-14%$03210.7-75-
62
Facility 62
MD AVG 43
Rank #286 / 985
Pc Md5 Opco Holdco LLC$12.0M$4.8M39.7%215005
Ginger Cove
NH
AL
HC
IL
MC
Annapolis (River Crescent Drive)
96
Facility 96
MD AVG 43
Rank #140 / 697
66.1% -20%5.57 +25%+47%$0196.3-35A+
51
Facility 51
MD AVG 43
Rank #413 / 985
Phyllis Boulden$5.0M$13.3M265.4%215174
Autumn Lake Healthcare at Crofton
NH
RC
Crofton (Charing Cross)
180
Facility 180
MD AVG 43
Rank #19 / 697
88.0% +7%3.37 +35%-11%$0
27
Facility 27
MD AVG 49.9
Rank #28 / 149
6.8-160-
41
Facility 41
MD AVG 43
Rank #508 / 985
A&R Stern Family Cc Holdings LLC$27.2M$3.0M11.1%215120
Autumn Lake Healthcare at Spa Creek
NH
RC
Annapolis (Milkshake Lane)
130
Facility 130
MD AVG 43
Rank #66 / 697
88.3% +7%3.32 -41%-12%$0
65
Facility 65
MD AVG 49.9
Rank #118 / 149
13.01114-
48
Facility 48
MD AVG 43
Rank #448 / 985
35 Milkshake Holdco LLC$20.1M$1.5M7.2%215258
Autumn Lake Healthcare at Glen Burnie
NH
Glen Burnie (East Furnace Branch Road)
190
Facility 190
MD AVG 43
Rank #13 / 697
88.5% +7%3.15 -71%-17%$0
123
Facility 123
MD AVG 49.9
Rank #146 / 149
30.8-167-
50
Facility 50
MD AVG 43
Rank #419 / 985
7355 Furnace Branch Road East Opco LLC$25.1M$1.4M5.5%215266

Financial Assistance for
Nursing Home in Maryland

Autumn Lake Healthcare at Crofton is located in Crofton, Maryland.
Here are the financial assistance programs available to residents in Maryland.

Get Financial aid guidance

Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled
General Maryland resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
MD

High urban demand; rural outreach efforts.

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Senior Care Program

Maryland Senior Care

Age 65+
General Maryland resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by county
Asset Limits $11,000 individual
MD

Limited funding; waitlists common in high-demand areas.

Benefits
In-home care (3-5 hours/week) Respite care (up to 10 days/year) Meals (~$6/meal) Transportation (~5 trips/month) Case management

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+
General Maryland resident, Medicaid-eligible, requires nursing home-level care.
Income Limits (2025) $943/month (individual); most income applied to care costs.
Asset Limits $2,500 (individual), $3,000 (couple); spousal protections up to $155,356.
MD

Home equity limit $636,000; estate recovery applies post-55.

Benefits
24/7 nursing care Meals Therapy Medications (unlimited per medical need)

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+
General Maryland resident, in or moving to approved assisted living, low/moderate income.
Income Limits (2025) ~$34,000/year individual, varies by county
Asset Limits Not strict; prioritizes low-income.
MD

Not available statewide; facility must be licensed by MDH.

Benefits
Personal care Meals 24-hour supervision (up to $1,500/month subsidy typical)

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Age
General Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.
Income Limits (2025) Net income minus medical expenses < $1,984/month individual with A&A
Asset Limits $155,356 net worth limit
MD

High veteran population in suburban/rural areas.

Benefits
Cash benefit ($1,478-$2,471/month, varies by status) for care costs

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+
General Maryland resident (6+ months), Medicare Part D enrolled.
Income Limits (2025) $48,560/year individual, 300% FPL
Asset Limits None specified.
MD

Supplements Medicare Part D; annual enrollment required.

Benefits
Up to $40/month premium subsidy Reducing drug costs

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+
General Maryland resident, Medicare Part A/B enrollee.
Income Limits (2025) $2,014/month (QMB), $2,706/month (SLMB/QI, individual).
Asset Limits $9,090 (individual), $13,630 (couple).
MD

Includes QMB, SLMB, QI categories.

Benefits
Covers premiums (up to $174.70/month Part B) Co-pays Deductibles

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+
General Maryland resident, Medicaid-eligible, needs ADL assistance.
Income Limits (2025) $943/month (individual); spend-down available.
Asset Limits $2,500 (individual), $3,000 (couple).
MD

Consumer-directed option allows hiring family caregivers.

Benefits
Personal care (hours vary, typically 20-30/week) Chores Nurse supervision

Frequently Asked Questions about Autumn Lake Healthcare at Crofton

What neighborhood is Autumn Lake Healthcare at Crofton in?

Autumn Lake Healthcare at Crofton is in the Charing Cross neighborhood of Crofton.

Is Autumn Lake Healthcare at Crofton in a walkable area?

Autumn Lake Healthcare at Crofton has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Autumn Lake Healthcare at Crofton?

Autumn Lake Healthcare at Crofton's occupancy is 88.0%.

Are there photos of Autumn Lake Healthcare at Crofton?

Yes — there are 5 photos of Autumn Lake Healthcare at Crofton in the photo gallery on this page.

What is the address of Autumn Lake Healthcare at Crofton?

Autumn Lake Healthcare at Crofton is located at 2131 Davidsonville Road, Crofton, MD 21114.

What is the phone number of Autumn Lake Healthcare at Crofton?

(410) 721-1000 will put you in contact with the team at Autumn Lake Healthcare at Crofton.

Is Autumn Lake Healthcare at Crofton Medicare or Medicaid certified?

Yes — Autumn Lake Healthcare at Crofton is a CMS-certified provider of Medicare and Medicaid.

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