Autumn Lake Healthcare at Glade Valley
Autumn Lake Healthcare at Glade Valley provides nursing home and skilled nursing care, along with memory care, in Walkersville, MD. Nursing home and skilled nursing care include licensed nursing support on site around the clock. Memory care is provided in a secured setting with supervision for residents who may be at risk of wandering.
Having these care levels in one community may suit someone whose needs could grow from memory support to more intensive nursing care. The home has 124 beds. Total nurse staffing is 3h 33m per resident per day, meaning this is the amount of nursing time available for each resident across a typical day.
Payment options are Medicare, Medicaid and private pay. Medicare generally applies to short-term skilled care after a hospital stay, while Medicaid can help when savings may not cover a long stay. Private pay means paying directly.
A Walk Score of 39 places the area in a car-dependent setting. Most errands require a car or a ride, so the setting may suit a resident who expects to rely on arranged transportation or others for off-site errands.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Standout metric: LPN / LVN is +30% above Maryland average
5 of 6 metrics below Maryland average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
82.8% of staff hours were worked by the facility's own employees
Maryland average: 87.8% · Contractors this quarter: Certified Nursing Assistant (35), Licensed Practical Nurse (14), Registered Nurse (13), Physical Therapy Assistant (9), Respiratory Therapy Technician (5), Speech Language Pathologist (3), Qualified Social Worker (3), Physical Therapy Aide (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Medium-capacity home · Offers a balance of services and community atmosphere.
Based on residents per day and 124 beds.
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
About This Community
CMS Health Inspection History
ALM Inspection Grade
9 points below the Maryland average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
181 severity-weighted points (87 citations) · 69% higher than the typical CMS-certified MD facility (median: 107)
Enforcement
Concern
$37,265 in fines · 1 enforcement action
Persistence
Typical
43 days to fix issues · faster than the typical CMS-certified MD facility (median: 47)
Citation severity
Latest inspection: Jun 01, 2026 · 19 citations, all corrected
Most cited category: Quality of Life & Care, 19 of 87 citations · 10 categories in total
Citations history
Most recent firstShowing the 50 most recent of 87 citations.
Top deficiency categories
Share of 87 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
65 of 87 citations resulted from standard inspections; 9 of 87 resulted from complaint investigations; and 13 of 87 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
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 · Data as of Oct 2026
1 penalty in the past 3 years
Latest: Nov 15, 2023 · $37,265 civil money penalty
Penalty history · past 3 years
Fine amount comparison
Totals count every penalty on record; the history lists the past 3 years. Maryland and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Maryland average.
13 long-stay measures: 9 better, 3 worse, 1 near MD average
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Autumn Lake Healthcare at Glade Valley’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 115 Maryland nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Profitable on care
15.0% operating margin
+10.4 pts vs prior year
Positive margin in 5 of the last 8 reported years. Net income $3.0M after other income.
Does it invest in staff?
Spends less on payroll than most Maryland homes
7.0% payroll share of revenue
MD average 47.1%Rank #104 / 115Payroll % of net patient revenue — State benchmarked This nursing home is ranked 104th out of 115 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.1M while revenue rose $2.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Maryland homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $19.7M | +$2.2M | Trend 20162024 | MD median $17.8M | Rank in MD Rank #47 / 115Net patient revenue — State benchmarked This nursing home is ranked 47th out of 115 nursing homes we track in Maryland for net patient revenue. Shows this facility's net patient revenue compared to the Maryland average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 60% of homes | Above MD median Higher net patient revenue than 60% of MD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $16.7M | +$0.0M | Trend 20162024 | MD median $17.3M | Rank in MD Rank #68 / 115Operating expenses — State benchmarked This nursing home is ranked 68th out of 115 nursing homes we track in Maryland for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Maryland homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $2.9M | +$2.1M | Trend 20162024 | MD median $0.7M | Rank in MD Rank #17 / 115Net patient income — State benchmarked This nursing home is ranked 17th out of 115 nursing homes we track in Maryland for net patient income. Shows net patient revenue minus operating expenses, compared with other Maryland homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 15.0% | +10.4 pts | Trend 20162024 | MD median 4.1% | Rank in MD Rank #11 / 115Operating margin — State benchmarked This nursing home is ranked 11th out of 115 nursing homes we track in Maryland for operating margin. Shows net patient income as a share of net patient revenue, compared with other Maryland homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | MD median $0.1M | Rank in MD Rank #73 / 110Other income — State benchmarked This nursing home is ranked 73rd out of 110 nursing homes we track in Maryland for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Maryland homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 34% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $3.0M | +$1.8M | Trend — | MD median $1.4M | Rank in MD Rank #23 / 115Net income — State benchmarked This nursing home is ranked 23rd out of 115 nursing homes we track in Maryland for net income. Shows the bottom line after other income, compared with other Maryland homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 81% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Maryland homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $1.4M | +$0.1M | Trend 20162024 | MD median $6.4M | Rank in MD Rank #105 / 115Payroll costs — State benchmarked This nursing home is ranked 105th out of 115 nursing homes we track in Maryland for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Maryland average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 9% of homes | Below MD median Higher payroll than 9% of MD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 7.0% | −0.2 pts | Trend 20162024 | MD median 40.7% | Rank in MD Rank #104 / 115Payroll % of net patient revenue — State benchmarked This nursing home is ranked 104th out of 115 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 10% of homes | 40.1 pts under MD average The MD average is 47.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · MD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Maryland payroll average.
% of net patient revenue
Payroll share Operating margin MD payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021no report | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $14.6M | $14.2M | $14.2M | $14.5M | $12.7M | $17.0M | $17.5M | $19.7M | |
| Operating expenses | $14.6M | $15.1M | $15.0M | $14.4M | $11.1M | $16.2M | $16.7M | $16.7M | |
| Net patient income | −$0.1M | −$0.8M | −$0.8M | $0.1M | $1.6M | $0.8M | $0.8M | $2.9M | |
| Operating margin | −0.4% | −5.8% | −5.8% | 0.8% | 12.7% | 4.4% | 4.6% | 15.0% | |
| Net income | −$0.0M | −$0.8M | −$0.8M | $0.1M | $2.3M | $0.8M | $1.1M | $3.0M | |
| Payroll costs | $6.7M | $6.5M | $6.4M | $5.4M | $6.1M | $1.3M | $1.3M | $1.4M | |
| Payroll share of revenue | 46.1% | 45.8% | 45.0% | 37.5% | 48.0% | 7.5% | 7.2% | 7.0% | |
| Beds | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | |
| Gross revenue | $20.8M | $21.2M | $21.8M | $22.7M | $19.1M | $18.1M | $18.8M | $21.1M | |
| Salaries | $5.8M | $5.7M | $5.7M | $4.8M | $5.2M | $1.1M | $1.1M | $1.2M | |
| Wage-related costs | $0.9M | $0.8M | $0.7M | $0.6M | $0.9M | $0.2M | $0.1M | $0.1M | |
| Contract labor | $1.9M | $2.1M | $2.3M | $2.5M | $1.0M | $6.9M | $6.5M | $6.7M | |
| Other operating costs | $7.9M | $8.6M | $8.6M | $8.9M | $5.0M | $14.9M | $15.4M | $15.4M | |
| Net patient revenue per day | $345 | $342 | $345 | $349 | $347 | $425 | $433 | $478 | |
| Cost per day | $346 | $362 | $365 | $346 | $303 | $406 | $413 | $407 | |
| Average length of stay | 75.1 days | 76.1 days | 78.0 days | 75.4 days | 101.7 days | 86.5 days | 100.0 days | 81.7 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Autumn Lake Healthcare at Glade Valley
0.9 miles from city center
Estimated distance in miles from Walkersville's city center to Autumn Lake Healthcare at Glade Valley's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Maryland
Autumn Lake Healthcare at Glade Valley is located in Walkersville, Maryland.
Here are the financial assistance programs available to residents in Maryland.




