3/5
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.
3/5
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.
Autumn Lake Healthcare at Silver Spring, located at 2501 Musgrove Rd in Silver Spring, Maryland, functions as an independently owned entity operating under the Autumn Lake Healthcare licensure. The organizational structure encompasses a multifaceted care spectrum including nursing home services, skilled nursing, memory care, and hospice care. The facility manages both short-term rehabilitation and long-term residency requirements within a single systemic framework.
The recorded occupancy rate of 93.4 percent serves as a primary data point for families to analyze. This high utilization rate suggests that availability is structurally limited, meaning that the timing of a placement request is a critical variable in the acquisition of a bed. The average length of stay is calculated at 118 days. This duration reflects a logical distribution between post-acute recovery patients and those requiring permanent long-term care.
The memory care subsystem utilizes a closed dementia unit. This architectural choice ensures a distinct physical separation from the general resident population, which provides a more controlled environment than a loosely integrated program would offer.
From a clinical perspective, the facility maintains a robust internal infrastructure for physical, occupational, speech, and respiratory therapies. The scope of medical management is quite comprehensive, including intravenous therapy, tracheostomy care, wound management, and orthopedic recovery. Additionally, the system accounts for complex needs such as stroke recovery, diabetes management, total parenteral nutrition, and bariatric care alongside palliative and hospice support.
The staffing model provides a total of 3 hours and 31 minutes of nursing care per resident per day. When broken down by role, Registered Nurses contribute 32 minutes, Licensed Practical Nurses contribute 54 minutes, and nurse aides provide 1 hour and 55 minutes of direct interaction. Financial input is accepted through Medicare, Medicaid, and private payment channels. The facility possesses a Walk Score of 16, which indicates that the surrounding environment lacks the density for pedestrian activity and necessitates motorized transportation for any off-campus requirements.
For families evaluating options in the Silver Spring region, this facility presents a dense concentration of clinical services ranging from rehabilitation to hospice. The high occupancy metrics serve as a reliable indicator of sustained demand within the local healthcare market, suggesting that the facility is a significant node in the regional care network.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 36% 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.
| 54m per day | ■ Avg State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 55m per day | ▼ 12% State avg: 2h 10m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▼ 10% 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.
| 5m per day | ▲ 6% 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.
| 35m per day | ▼ 5% State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Maryland average
8% worse than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 24 RN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursHelps with daily care and mobility.
All 64 CNA Staff are full-time employees. No contractors work on this role.
64
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,123 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 64 | 0 | 64 | 24,226 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 25 | 0 | 25 | 10,541 | 92 | 100% | 7.4 |
| Registered Nurse | 24 | 0 | 24 | 5,705 | 92 | 100% | 7.9 |
| Physical Therapist | 12 | 0 | 12 | 4,315 | 92 | 100% | 6.9 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,603 | 91 | 99% | 6.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 1,280 | 66 | 72% | 8.4 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 1,110 | 71 | 77% | 7.5 |
| Physical Therapy Assistant | 0 | 4 | 4 | 930 | 67 | 73% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 840 | 63 | 68% | 7.5 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 810 | 62 | 67% | 7.5 |
| Dental Services Staff | 2 | 0 | 2 | 801 | 64 | 70% | 7.5 |
| Occupational Therapy Aide | 2 | 0 | 2 | 698 | 63 | 68% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 561 | 63 | 68% | 7.3 |
| Administrator | 1 | 0 | 1 | 473 | 63 | 68% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 64 | 70% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 248 | 33 | 36% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 242 | 64 | 70% | 3.7 |
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.
14.6
13% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
8% worse than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
11% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
34.4%
24% worse than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.8%
12% better than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
61% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
8.4%
28% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
1.3%
17% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
3.3%
43% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
14.8%
27% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
14.3%
11% worse than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
In line with 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.
1.38
5% worse than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.74
39% better than Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
10% worse than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
45% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.6%
In line with Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.2%
9% worse than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.3%
26% better 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.
42.4%
21% worse than Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
17.2%
66% worse 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.
51% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
130Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Autumn Lake Healthcare at Silver Spring from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.1 miles from city center
Estimated distance in miles from Silver Spring's city center to Autumn Lake Healthcare at Silver Spring's address, calculated via Google Maps.
— 4.25 miles to nearest hospital (UM Laurel Medical Center)
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Bedford Court, a CCRC | NH AL HC IL MC RC | Silver Spring (International Drive) | 76
Facility
76
MD AVG
43
Rank
#184 / 697 | 76.5% | -7% | 4.81 | -36% | +27% | $0 | 23 | 7.7 | - | 43 | - |
64
Facility
64
MD AVG
43
Rank
#261 / 985 | Welltower Opco Group LLC | $23.1M | $10.0M | 43.1% | 215246 | ||||
| Complete Care at Springbrook | NH HC PC RC | Silver Spring | 93
Facility
93
MD AVG
43
Rank
#151 / 697 | 83.9% | +2% | 2.77 | -72% | -27% | $0 | 33 | 6.6 | 1 | 84 | A+ |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | - | $10.6M | $4.8M | 45.1% | 215052 | ||||
| Althea Woodland Nursing Home | NH HC MC RC | Silver Spring (Montgomery Knolls) | 50
Facility
50
MD AVG
43
Rank
#225 / 697 | 91.7% | +11% | 3.79 | -3% | 0% | $0 | 29 | 7.3 | - | 48 | - |
12
Facility
12
MD AVG
43
Rank
#802 / 985 | Toni Meyer | $6.3M | $2.5M | 40.3% | 215228 | ||||
| Autumn Lake Healthcare at Silver Spring | NH NC PC RC | Silver Spring | 148
Facility
148
MD AVG
43
Rank
#47 / 697 | 93.4% | +13% | 3.51 | +10% | -7% | $0 | 35
Facility
35
MD AVG
49.9
Rank
#56 / 149 | 7.0 | - | 137 | - |
16
Facility
16
MD AVG
43
Rank
#772 / 985 | 2501 Musgrove Road Holdco LLC | $10.8M | $914.7k | 8.4% | 215224 | ||||
| Bel Pre Healthcare Center | NH HC MC RC | Silver Spring (Bel Pre Road) | 100
Facility
100
MD AVG
43
Rank
#117 / 697 | 93.7% | +14% | 4.36 | +78% | +16% | $48.5k | 55
Facility
55
MD AVG
49.9
Rank
#101 / 149 | 13.8 | 1 | 75 | F |
52
Facility
52
MD AVG
43
Rank
#402 / 985 | Option Holdings II LLC | $11.1M | $5.4M | 48.3%
Facility
48.3%
MD AVG
38.5%
Rank
#99 / 148 | 215065 |
Autumn Lake Healthcare at Silver Spring is located in Silver Spring, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Autumn Lake Healthcare at Silver Spring has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Autumn Lake Healthcare at Silver Spring's occupancy is 93.4%.
Yes — there are 7 photos of Autumn Lake Healthcare at Silver Spring in the photo gallery on this page.
Autumn Lake Healthcare at Silver Spring is located at 2501 Musgrove Rd, Silver Spring, MD 20904.
(301) 890-5552 will put you in contact with the team at Autumn Lake Healthcare at Silver Spring.
Yes — Autumn Lake Healthcare at Silver Spring is a CMS-certified provider of Medicare and Medicaid.
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