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.
Located on Barker Street in Montgomery County’s urban area, Autumn Lake Healthcare at Oakview is a skilled nursing home dedicated to short-term rehabilitation and ongoing long-term care in Silver Spring, Maryland. Owned by Oakview Holdco LLC, it takes Medicare, Medicaid, and private pay, giving families multiple ways to fund care. The facility serves around 138 residents with a current 84.2 percent occupancy rate.
The home provides 24/7 nursing care averaging 3 hours 44 minutes of nursing support per resident day, delivered by a team of registered nurses, licensed practical nurses, and nurse aides. That level of diligent staffing ensures consistent support all the time. A nurse practitioner works on-site, and the facility brings in consulting specialists: a psychiatrist, a wound care specialist, and a physiatrist (a physician focused on physical medicine and rehabilitation). This clinical depth makes the community well-positioned for occupants convalescing from serious health events or managing complex care needs. Clinically, the home’s programs underscore recovery and restoration. It offers specialized tracks for stroke recovery, cardiopulmonary rehabilitation, joint replacement recovery, and orthopedic care. Physical therapy, speech-language pathology, and respiratory therapy services exist on-site, staffed with licensed therapists and technicians. The facility also delivers palliative care and respite care, broadening its reach to residents and families with different objectives. The typical stay here is about 129 days, reflecting the mix of post-acute rehabilitation residents who remain weeks to a few months and longer-term occupants staying for ongoing nursing care. Private pay residents, about half of new admissions, typically stay around 27 days. Medicare and Medicaid residents represent roughly 29 and 21 percent of admissions apiece, and the home takes three forms of coverage. Daily life is anchored by a dietitian, on-site dental services, mental health services, and a full activities and recreation program. The facility has an active Resident Council and Family Council so that occupants and family members can join discussions about policies, care quality, and community life. The neighborhood around Autumn Lake is somewhat walkable. Some errands and services are then reachable on foot, but most travels need a car. The home sits about 2.3 miles from Silver Spring’s city center in an urban, residential setting convenient to family visitors.
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.
This home is ranked 50th out of 125 homes in Maryland for nurse hours. 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.
| 30m per day | ▼ 40% 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 58m per day | ▼ 9% 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 16m per day | ▼ 6% 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 | ▼ 43% 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.
| 23m per day | ▼ 37% State avg: 37m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
38% fewer staff per resident than Maryland average
0% compared with 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 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
31 total: 30 full-time employees and 1 contractor.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
60 total: 43 full-time employees and 17 contractors.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,940 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 17 | 60 | 20,368 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 30 | 1 | 31 | 12,073 | 92 | 100% | 8.3 |
| Physical Therapist | 12 | 0 | 12 | 4,021 | 92 | 100% | 7.2 |
| Registered Nurse | 9 | 0 | 9 | 3,168 | 92 | 100% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,133 | 91 | 99% | 7.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 2,016 | 90 | 98% | 8.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,599 | 89 | 97% | 7.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 944 | 67 | 73% | 7.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 533 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 500 | 63 | 68% | 7.9 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 475 | 61 | 66% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 192 | 20 | 22% | 9.6 |
| Dental Services Staff | 1 | 0 | 1 | 122 | 36 | 39% | 3.4 |
| Speech Language Pathologist | 0 | 2 | 2 | 82 | 15 | 16% | 5.4 |
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.
12.0
7% better than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.9
In line with 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
25.7%
8% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
25.1%
9% better than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
8% better than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
80% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
4.1%
38% better than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.5%
71% 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
45.9%
127% worse than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
2.0%
84% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
6% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.34
In line with Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.37
13% worse 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
86.9%
11% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
29% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.6%
6% better than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.5%
20% worse than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
73% worse 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.
54.2%
In line with Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.3%
In line with Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
124Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, 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 Oakview from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
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.
Rank #67 / 126Payroll — State benchmarkedThis home is ranked 67th out of 126 homes in Maryland for payroll. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. 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.
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.
Rank #42 / 126Payroll % — State benchmarkedThis home is ranked 42nd out of 126 homes in Maryland for payroll %. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–55% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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.
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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Silver Spring's city center to Autumn Lake Healthcare at Oakview's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Bedford Court, a CCRC | NH AL HOS IL MC RC SNF | Silver Spring (International Drive) | 76
Facility
76
MD AVG
42
Rank
#174 / 685 | - | - | 4.81
Facility
4.81
MD AVG
3.77
Rank
#15 / 125 | -36% | +27% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 23
Facility
23
MD AVG
49.9
Rank
#17 / 127 | 7.7
Facility
7.7
MD AVG
12.8
Rank
#30 / 127 | - | 43 | - |
64
Facility
64
MD AVG
43
Rank
#261 / 985 | Welltower Opco Group LLC | $23.1MFiscal year ending 12/2023
Facility
$23.1MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#35 / 126 | $10.0MFiscal year ending 12/2023
Facility
$10.0MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#38 / 126 | 43.1%Fiscal year ending 12/2023
Facility
43.1%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#99 / 126 | 215246 | ||||
| Complete Care at Springbrook | NH HOS PC RC SNF | Silver Spring | 93
Facility
93
MD AVG
42
Rank
#142 / 685 |
83.9%
Facility
83.9%
MD AVG
80.3
Rank
#61 / 97 | +4% | 2.77
Facility
2.77
MD AVG
3.77
Rank
#123 / 125 | -72% | -27% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 33
Facility
33
MD AVG
49.9
Rank
#40 / 127 | 6.6
Facility
6.6
MD AVG
12.8
Rank
#15 / 127 | 1 | 78 | A+ |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | - | $10.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$10.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$18.7M
Rank
#95 / 126 | $5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$6.5M
Rank
#116 / 126 | 48.9%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
48.9%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
38.5%
Rank
#108 / 126 | 215052 | ||||
| Althea Woodland Nursing Home | NH HOS MC RC SNF | Silver Spring (Montgomery Knolls) | 50
Facility
50
MD AVG
42
Rank
#213 / 685 |
95.0%
Facility
95.0%
MD AVG
80.3
Rank
#15 / 97 | +18% | 3.79
Facility
3.79
MD AVG
3.77
Rank
#42 / 125 | -3% | 0% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 29
Facility
29
MD AVG
49.9
Rank
#27 / 127 | 7.3
Facility
7.3
MD AVG
12.8
Rank
#23 / 127 | - | 48 | - |
12
Facility
12
MD AVG
43
Rank
#802 / 985 | Toni Meyer | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#120 / 126 | $2.5MFiscal year ending 12/2023
Facility
$2.5MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#125 / 126 | 40.3%Fiscal year ending 12/2023
Facility
40.3%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#115 / 126 | 215228 | ||||
| Autumn Lake Healthcare at Oakview | NH PC RC SNF | Silver Spring (Wheaton) | 138
Facility
138
MD AVG
42
Rank
#55 / 685 |
88.0%
Facility
88.0%
MD AVG
80.3
Rank
#45 / 97 | +10% | 3.74
Facility
3.74
MD AVG
3.77
Rank
#50 / 125 | -53% | -1% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 60
Facility
60
MD AVG
49.9
Rank
#92 / 127 | 20.0
Facility
20.0
MD AVG
12.8
Rank
#111 / 127 | - | 121 | - |
29
Facility
29
MD AVG
43
Rank
#638 / 985 | Oakview Holdco LLC | $16.0MFiscal year ending 12/2023
Facility
$16.0MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#76 / 126 | $2.2MFiscal year ending 12/2023
Facility
$2.2MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#67 / 126 | 13.7%Fiscal year ending 12/2023
Facility
13.7%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#42 / 126 | 215338 | ||||
| Autumn Lake Healthcare at Arcola | NH HOS SNF | Silver Spring | 151
Facility
151
MD AVG
42
Rank
#42 / 685 |
93.8%
Facility
93.8%
MD AVG
80.3
Rank
#19 / 97 | +17% | 3.57
Facility
3.57
MD AVG
3.77
Rank
#56 / 125 | -55% | -5% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 53
Facility
53
MD AVG
49.9
Rank
#80 / 127 | 17.7
Facility
17.7
MD AVG
12.8
Rank
#103 / 127 | 3 | 142 | - |
44
Facility
44
MD AVG
43
Rank
#489 / 985 | 901 Arcola Avenue Opco LLC | $18.3MFiscal year ending 12/2023
Facility
$18.3MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#59 / 126 | $1.5MFiscal year ending 12/2023
Facility
$1.5MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#47 / 126 | 8.1%Fiscal year ending 12/2023
Facility
8.1%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#34 / 126 | 215014 |
Autumn Lake Healthcare at Oakview is located in Silver Spring, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Autumn Lake Healthcare at Oakview is in the Wheaton neighborhood.
Autumn Lake Healthcare at Oakview has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Autumn Lake Healthcare at Oakview's occupancy is 84.2%.
No, Autumn Lake Healthcare at Oakview has a no-pet policy.
Autumn Lake Healthcare at Oakview is registered as a for-profit.
Yes — there are 3 photos of Autumn Lake Healthcare at Oakview in the photo gallery on this page.
Autumn Lake Healthcare at Oakview is located at 2700 Barker St, Silver Spring, MD 20910.
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