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 Spa Creek is the perfect skilled nursing community to receive outstanding care. Expect nothing but quality when it comes to their service: an advanced level of recovery found by the support of a psychiatrist, a wound care specialist, and a physiatrist; 24/7 skilled nursing; speech, physical, and occupational therapy; restorative care, bereavement counseling, diabetes management, and track management care.
Autumn Lake Healthcare at Spa Creek 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 Spa Creek.
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 91st out of 143 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.
|
32m per day | ▼ 37% 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 20m per day | ▲ 48% 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 43m per day | ▼ 20% 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 15m 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.
|
9m per day | ▲ 72% 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.
0% compared with 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.
18 total: 9 full-time employees and 9 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Assists with medical care and medications.
53 total: 21 full-time employees and 32 contractors.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Helps with daily care and mobility.
111 total: 40 full-time employees and 71 contractors.
111
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,040 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 71 | 111 | 18,054 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 21 | 32 | 53 | 13,056 | 92 | 100% | 9.7 |
| Registered Nurse | 9 | 9 | 18 | 3,677 | 92 | 100% | 7.8 |
| Physical Therapy Assistant | 0 | 6 | 6 | 1,581 | 91 | 99% | 7.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 1,497 | 76 | 83% | 7.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,373 | 65 | 71% | 7.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,356 | 68 | 74% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 936 | 92 | 100% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 935 | 67 | 73% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 930 | 64 | 70% | 7.5 |
| Physical Therapy Aide | 0 | 3 | 3 | 658 | 71 | 77% | 6.5 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 470 | 64 | 70% | 7.3 |
| Qualified Social Worker | 0 | 9 | 9 | 428 | 58 | 63% | 6.6 |
| Dietitian | 1 | 0 | 1 | 428 | 57 | 62% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 82 | 13 | 14% | 6.3 |
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.
10.2
21% better than Maryland average
Maryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.2
14% better than Maryland average
Maryland 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
23.9%
In line with Maryland average
Maryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
19.6%
29% better than Maryland average
Maryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
11% better than Maryland average
Maryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.3%
86% better than Maryland average
Maryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
4.6%
29% better than Maryland average
Maryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
1.0%
37% better than Maryland average
Maryland average: 1.6%
Percent of long-stay residents who lose too much weight
2.4%
58% better than Maryland average
Maryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
19.1%
6% better than Maryland average
Maryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
3.2%
76% better than Maryland average
Maryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Maryland average
Maryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland average
Maryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.60
55% better than Maryland average
Maryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.60
50% better than Maryland average
Maryland 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
96.5%
23% better than Maryland average
Maryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Maryland average
Maryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.0%
14% better than Maryland average
Maryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.7%
7% worse than Maryland average
Maryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.1%
8% better than Maryland average
Maryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
32% better than Maryland average
Maryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.2%
5% better than Maryland average
Maryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.3%
23% better than Maryland average
Maryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
63% of new residents, usually for short-term rehab.
29% 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
118
Residents 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 Spa Creek from 2012–2023, 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 #47 / 144Payroll — State benchmarkedThis home is ranked 47th out of 144 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 #72 / 144Payroll % — State benchmarkedThis home is ranked 72nd out of 144 homes in Maryland for Payroll %. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–56% — 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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (63% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.4 miles from city center
Estimated distance in miles from Annapolis's city center to Autumn Lake Healthcare at Spa Creek's address, calculated via Google Maps.
— 2.63 miles to nearest hospital (Luminis Health Anne Arundel Medical Center)
Add your location
The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
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| Complete Care at Annapolis |
NH
HOS
PC
RC
SNF
|
Annapolis |
97
Facility
97
MD AVG
43
Rank
#135 / 690
|
77.3%
Facility
77.3%
MD AVG
80.8
Rank
#75 / 104
| -4% |
3.26
Facility
3.26
MD AVG
3.77
Rank
#91 / 143
| -3% | -14% |
$0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 145
|
32
Facility
32
MD AVG
49.9
Rank
#41 / 145
|
10.7
Facility
10.7
MD AVG
12.8
Rank
#65 / 145
| - | 75 | - |
62
Facility
62
MD AVG
43
Rank
#286 / 985
| Pc Md5 Opco Holdco LLC |
$11.7M*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
$11.7M*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
#108 / 144
|
$6.1M*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
$6.1M*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
#120 / 144
|
51.8%*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
51.8%*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
#87 / 144
| 215005 | ||||
| Ginger Cove |
NH
AL
HC
IL
MC
SNF
|
Annapolis (River Crescent Drive) |
96
Facility
96
MD AVG
43
Rank
#136 / 690
| - | - |
5.57
Facility
5.57
MD AVG
3.77
Rank
#8 / 143
| +25% | +47% |
$0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 145
|
19
Facility
19
MD AVG
49.9
Rank
#12 / 145
|
6.3
Facility
6.3
MD AVG
12.8
Rank
#12 / 145
| - | 35 | A+ |
51
Facility
51
MD AVG
43
Rank
#413 / 985
| Phyllis Boulden |
$5.0MFiscal year ending 06/2024
Facility
$5.0MFiscal year ending 06/2024
MD AVG
$18.7M
Rank
#26 / 144
|
$13.3MFiscal year ending 06/2024
Facility
$13.3MFiscal year ending 06/2024
MD AVG
$6.5M
Rank
#24 / 144
|
265.4%Fiscal year ending 06/2024
Facility
265.4%Fiscal year ending 06/2024
MD AVG
38.5%
Rank
#61 / 144
| 215174 | ||||
| Autumn Lake Healthcare at Crofton |
NH
RC
SNF
|
Crofton (Charing Cross) |
180
Facility
180
MD AVG
43
Rank
#19 / 690
|
88.9%
Facility
88.9%
MD AVG
80.8
Rank
#46 / 104
| +10% |
3.37
Facility
3.37
MD AVG
3.77
Rank
#80 / 143
| +35% | -11% |
$0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 145
|
27
Facility
27
MD AVG
49.9
Rank
#25 / 145
|
6.8
Facility
6.8
MD AVG
12.8
Rank
#17 / 145
| - | 160 | - |
41
Facility
41
MD AVG
43
Rank
#508 / 985
| A&R Stern Family Cc Holdings LLC |
$27.2MFiscal year ending 12/2023
Facility
$27.2MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#29 / 144
|
$3.0MFiscal year ending 12/2023
Facility
$3.0MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#26 / 144
|
11.1%Fiscal year ending 12/2023
Facility
11.1%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#66 / 144
| 215120 | ||||
| Autumn Lake Healthcare at Spa Creek |
NH
RC
SNF
|
Annapolis (Milkshake Lane) |
130
Facility
130
MD AVG
43
Rank
#63 / 690
|
87.5%
Facility
87.5%
MD AVG
80.8
Rank
#53 / 104
| +8% |
3.32
Facility
3.32
MD AVG
3.77
Rank
#91 / 143
| -41% | -12% |
$0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 145
|
65
Facility
65
MD AVG
49.9
Rank
#114 / 145
|
13.0
Facility
13.0
MD AVG
12.8
Rank
#88 / 145
| 1 | 114 | - |
48
Facility
48
MD AVG
43
Rank
#448 / 985
| 35 Milkshake Holdco LLC |
$20.1MFiscal year ending 12/2023
Facility
$20.1MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#53 / 144
|
$1.5MFiscal year ending 12/2023
Facility
$1.5MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#47 / 144
|
7.2%Fiscal year ending 12/2023
Facility
7.2%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#72 / 144
| 215258 | ||||
| Autumn Lake Healthcare at Glen Burnie |
NH
SNF
|
Glen Burnie (East Furnace Branch Road) |
190
Facility
190
MD AVG
43
Rank
#13 / 690
|
88.1%
Facility
88.1%
MD AVG
80.8
Rank
#48 / 104
| +9% |
3.15
Facility
3.15
MD AVG
3.77
Rank
#119 / 143
| -71% | -17% |
$0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 145
|
123
Facility
123
MD AVG
49.9
Rank
#142 / 145
|
30.8
Facility
30.8
MD AVG
12.8
Rank
#143 / 145
| - | 167 | - |
50
Facility
50
MD AVG
43
Rank
#419 / 985
| 7355 Furnace Branch Road East Opco LLC |
$25.1MFiscal year ending 12/2023
Facility
$25.1MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#37 / 144
|
$1.4MFiscal year ending 12/2023
Facility
$1.4MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#34 / 144
|
5.5%Fiscal year ending 12/2023
Facility
5.5%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#81 / 144
| 215266 |
Autumn Lake Healthcare at Spa Creek is located in Annapolis, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Autumn Lake Healthcare at Spa Creek is in the Milkshake Lane neighborhood.
Autumn Lake Healthcare at Spa Creek has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Autumn Lake Healthcare at Spa Creek's occupancy is 88.3%.
Autumn Lake Healthcare at Spa Creek is registered as a for-profit.
Yes — there are 5 photos of Autumn Lake Healthcare at Spa Creek in the photo gallery on this page.
Autumn Lake Healthcare at Spa Creek is located at 35 Milkshake Ln, Annapolis, MD 21403.
(410) 269-5100 will put you in contact with the team at Autumn Lake Healthcare at Spa Creek.
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