Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
240
108 employees · 132 contractors · 64 on an average day Autumn Lake Healthcare at Waugh Chapel
Nursing Home, Respite Care & Skilled Nursing · Gambrills, MD
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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 Waugh Chapel
Nursing Home, Respite Care & Skilled Nursing · Gambrills, MD
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 14 points above the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
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.
5/5
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 Waugh Chapel accepts Medicare, Medicaid, and private pay.
Autumn Lake Healthcare at Waugh Chapel offers nursing home, skilled nursing, and respite care in Gambrills, MD. Nursing home and skilled nursing provide licensed nursing care on site around the clock, while respite care offers a short stay when a resident’s usual caregiver needs to travel or recover.
The community may be a good fit for someone who needs short-term rehabilitation or temporary care during a caregiver’s absence. Rehabilitation services and short-term rehab support residents working to regain function after illness, injury, or a hospital stay.
The home has 110 beds. Total nurse staffing is 3 hours 8 minutes per resident per day, representing that amount of daily nursing time assigned per resident. Payment options include Medicare, Medicaid, and private pay, with Medicare covering short-term skilled care after a hospital stay rather than long-term residence, Medicaid helping when personal savings may not cover a long stay, and private pay meaning the resident or family pays directly.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
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 Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 114th out of 118 nursing homes we track 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.
3h 8m
This nursing home is ranked 114th out of 118 nursing homes we track 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.
3h 8mStandout metric: Physical therapist is +107% above Maryland average
4 of 6 metrics below Maryland average
Daily care time per resident, by role
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. 12 total: 10 of the facility's own employees and 2 agency contractors.
12 staff · 7.2-hour shifts
30m
↓ 39% · MD 50mThis facility: 30m per resident per day, 39% below the Maryland average of 50m (among Maryland facilities reporting a recent figure).
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. 12 total: 10 of the facility's own employees and 2 agency contractors.
12 staff · 7.2-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 85 total: 38 of the facility's own employees and 47 agency contractors.
85 staff · 8.3-hour shifts
1h 14m
↑ 38% · MD 54mThis facility: 1h 14m per resident per day, 38% above the Maryland average of 54m (among Maryland facilities reporting a recent figure).
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. 85 total: 38 of the facility's own employees and 47 agency contractors.
85 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 86 total: 43 of the facility's own employees and 43 agency contractors.
86 staff · 7.7-hour shifts
1h 23m
↓ 36% · MD 2h 10mThis facility: 1h 23m per resident per day, 36% below the Maryland average of 2h 10m (among Maryland facilities reporting a recent figure).
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. 86 total: 43 of the facility's own employees and 43 agency contractors.
86 staff · 7.7-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
10m
↑ 107% · MD 5mThis facility: 10m per resident per day, 107% above the Maryland average of 5m (among Maryland facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 53m
↓ 17% · MD 3h 29mThis facility: 2h 53m per resident per day, 17% below the Maryland average of 3h 29m (among Maryland facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
20m
↓ 46% · MD 37mThis facility: 20m per resident per day, 46% below the Maryland average of 37m (among Maryland facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
240
108 employees · 132 contractors · 64 on an average day
240 total staff / 100 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.40 : 1
↑ 35% · MD 1.77This facility: 2.40 staff per resident, 35% above the Maryland average of 1.77 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
240 staff ÷ 100 residents
See full Maryland ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↓ 3% · MD 8 hThis facility: 7.8 h, 3% below the Maryland average of 8 h (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
46,008 staff hours this quarter
See full Maryland ranking →81.9% of staff hours were worked by the facility's own employees
Maryland average: 87.8% · Contractors this quarter: Licensed Practical Nurse (47), Certified Nursing Assistant (43), Respiratory Therapy Technician (11), Speech Language Pathologist (10), Physical Therapy Aide (7), Physical Therapy Assistant (7), Qualified Social Worker (5), Registered Nurse (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.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
110
Rank #64 / 139Bed count — State benchmarked This nursing home is ranked 64th out of 139 nursing homes we track in Maryland for bed count. 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. 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.
A mid-sized community that may balance personal attention with shared amenities and social activities.
110
Rank #64 / 139Bed count — State benchmarked This nursing home is ranked 64th out of 139 nursing homes we track in Maryland for bed count. 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. 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.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #111 / 160Walk Score — State benchmarked This nursing home is ranked 111th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. 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.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #111 / 160Walk Score — State benchmarked This nursing home is ranked 111th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. 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.
35
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #10 / 90Occupancy rate — State benchmarked This nursing home is ranked 10th out of 90 nursing homes we track in Maryland for occupancy. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 90. Higher occupancy signals strong local demand and financial stability. 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.
Occupancy between 85% and 95% suggests balanced demand.
Rank #10 / 90Occupancy rate — State benchmarked This nursing home is ranked 10th out of 90 nursing homes we track in Maryland for occupancy. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 90. Higher occupancy signals strong local demand and financial stability. 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.
91.7%
This home usually has limited availability
Based on residents per day and 110 beds.
Higher than the Maryland average: 83.2%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
101
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
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.
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.
46
days
About This Community
Resident Council
Short-Term Rehab
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
CMS Health Inspection History
ALM Inspection Grade
97 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
14 points above the Maryland average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
66 severity-weighted points (31 citations) · 38% lower than the typical CMS-certified MD facility (median: 107)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
37 days to fix issues · faster than the typical CMS-certified MD facility (median: 47)
Total health inspections
5
↑ 14% · MD 4.4This facility: 5, 14% above the Maryland average of 4.4 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
31
Rank #28 / 120Health citations — State benchmarked This nursing home is ranked 28th out of 120 nursing homes we track in Maryland for health citations. Shows this facility's total health deficiency citations benchmarked to the Maryland State average, with a ranking across all 120 MD facilities. Lower citation counts earn a better rank. 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.↓ 40% · MD 52This facility: 31, 40% below the Maryland average of 52 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.2
Rank #12 / 120Citations per inspection — State benchmarked This nursing home is ranked 12th out of 120 nursing homes we track in Maryland for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Maryland mean across 120 facilities with citation data. Lower is better. 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.↓ 47% · MD 11.76This facility: 6.2, 47% below the Maryland average of 11.76 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
93% corrected
29 of 31 citations corrected · 2 still open
Critical
J–L
0
↓ 100% · MD 0.4This facility: 0, 100% below the Maryland average of 0.4 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MD 0.5This facility: 0, 100% below the Maryland average of 0.5 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
31
↓ 38% · MD 49.8This facility: 31, 38% below the Maryland average of 49.8 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
93% corrected · 2 open
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · MD 1.3This facility: 0, 100% below the Maryland average of 1.3 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 30, 2026 · 2 citations, 0 corrected
Most cited category: Resident Assessment & Care Planning, 9 of 31 citations · 9 categories in total
Citations history
Most recent first
Jun 30, 2026
2 citations
Care Planning moderate citation
Resident Rights moderate citation
May 06, 2026
9 citations
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nov 19, 2025
1 citation
Quality of Care moderate citation
Corrected
Corrected
Mar 17, 2025
8 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Feb 03, 2020
11 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 31 citations
Resident Assessment & Care Planning
9 deficiencies (29%)
Resident Rights
5 deficiencies (16%)
Quality of Life & Care
4 deficiencies (13%)
Abuse, Neglect & Exploitation
3 deficiencies (10%)
Infection Control
2 deficiencies (6%)
Nutrition & Dietary
2 deficiencies (6%)
Nursing & Physician Services
2 deficiencies (6%)
Pharmacy Services
2 deficiencies (6%)
Environmental
2 deficiencies (6%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
26 of 31 citations resulted from standard inspections; and 5 of 31 resulted from complaint investigations.
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
Enforcement
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
MD avg $53KMaryland average: $53,427. Average among the 87 Maryland facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
MD avg 1.56Maryland average: 1.56. Average among the 87 Maryland facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MD avg 0.1Maryland average: 0.1. Average among the 87 Maryland facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Maryland average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 35% · MD 3.7This facility: 5.0, 35% above the MD average of 3.7 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 37% · MD 3.7This facility: 5.0, 37% above the MD average of 3.7 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
7.1
Score · lower is better
↓ 36% · MD 11.0This facility: 7.1, 36% below the MD average of 11.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
22.5
Score · lower is better
≈ 0% · MD 22.4This facility: 22.5, level with the MD average of 22.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.12 long-stay measures: 9 better, 2 worse, 1 near MD average
8 short-stay measures: 3 better, 2 worse, 3 compared with US only
Long-stay residents
People who live at the home · 12 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
↓ 13% · MD 20.4This facility: 17.7, 13% below the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
↓ 13% · MD 20.4This facility: 17.7, 13% below the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
↑ 9% · MD 25.0This facility: 27.3, 9% above the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
↑ 9% · MD 25.0This facility: 27.3, 9% above the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 55% · MD 1.5This facility: 0.7, 55% below the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.7%
↓ 55% · MD 1.5This facility: 0.7, 55% below the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · MD 2.4This facility: 0.0, 100% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · MD 2.4This facility: 0.0, 100% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.6%
↓ 6% · MD 5.9This facility: 5.6, 6% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.6%
↓ 6% · MD 5.9This facility: 5.6, 6% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
5.0%
↓ 9% · MD 5.4This facility: 5.0, 9% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.0%
↓ 9% · MD 5.4This facility: 5.0, 9% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
16.3%
↓ 28% · MD 22.8This facility: 16.3, 28% below the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
16.3%
↓ 28% · MD 22.8This facility: 16.3, 28% below the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.5%
↑ 20% · MD 13.8This facility: 16.5, 20% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
16.5%
↑ 20% · MD 13.8This facility: 16.5, 20% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · MD 92.6This facility: 100.0, 8% above the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · MD 92.6This facility: 100.0, 8% above the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MD 96.6This facility: 100.0, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MD 96.6This facility: 100.0, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.71
↓ 46% · MD 1.32This facility: 0.71, 46% below the MD average of 1.32 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
0.71
↓ 46% · MD 1.32This facility: 0.71, 46% below the MD average of 1.32 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.70
↓ 42% · MD 1.21This facility: 0.70, 42% below the MD average of 1.21 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.70
↓ 42% · MD 1.21This facility: 0.70, 42% below the MD average of 1.21 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
64.0%
↑ 19% · US 53.7This facility: 64.0, 19% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
64.0%
↑ 19% · US 53.7This facility: 64.0, 19% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
66.5%
↑ 31% · US 50.6This facility: 66.5, 31% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
66.5%
↑ 31% · US 50.6This facility: 66.5, 31% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
↑ 26% · US 0.8This facility: 1.0, 26% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
↑ 26% · US 0.8This facility: 1.0, 26% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↑ 44% · MD 1.1This facility: 1.6, 44% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
↑ 44% · MD 1.1This facility: 1.6, 44% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
↑ 23% · MD 79.1This facility: 97.7, 23% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
↑ 23% · MD 79.1This facility: 97.7, 23% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
↑ 20% · MD 80.6This facility: 96.4, 20% above the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
↑ 20% · MD 80.6This facility: 96.4, 20% above the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
↓ 8% · MD 21.2This facility: 19.5, 8% below the MD average of 21.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.5%
↓ 8% · MD 21.2This facility: 19.5, 8% below the MD average of 21.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.7%
↑ 18% · MD 9.9This facility: 11.7, 18% above the MD average of 9.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.7%
↑ 18% · MD 9.9This facility: 11.7, 18% above the MD average of 9.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.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 Waugh Chapel’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 116 Maryland nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
10.8% operating margin
+12.8 pts vs prior year
Positive margin in 1 of the last 8 reported years. Net income $2.4M after other income.
Does it invest in staff?
Spends less on payroll than most Maryland homes
8.8% payroll share of revenue
MD average 47.0%Rank #97 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 97th out of 116 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 $0.3M while revenue rose $2.3M. 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. | $22.2M | +$2.3M | Trend 20162024 | MD median $17.7M | Rank in MD Rank #33 / 116Net patient revenue — State benchmarked This nursing home is ranked 33rd out of 116 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 72% of homes | Above MD median Higher net patient revenue than 72% 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. | $19.8M | −$0.5M | Trend 20162024 | MD median — | Rank in MD Not ranked | 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. | $2.4M | +$2.8M | Trend 20162024 | MD median — | Rank in MD Not ranked | 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. | 10.8% | +12.8 pts | Trend 20162024 | MD median — | Rank in MD Not ranked | 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 — | Rank in MD Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $2.4M | +$2.7M | Trend — | MD median — | Rank in MD Not ranked | 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. | $1.9M | +$0.3M | Trend 20162024 | MD median $6.3M | Rank in MD Rank #92 / 116Payroll costs — State benchmarked This nursing home is ranked 92nd out of 116 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 21% of homes | Below MD median Higher payroll than 21% 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. | 8.8% | +0.4 pts | Trend 20162024 | MD median 40.5% | Rank in MD Rank #97 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 97th out of 116 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 17% of homes | 38.2 pts under MD average The MD average is 47.0% 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 | $15.3M | $15.3M | $15.6M | $16.0M | $16.7M | $18.7M | $19.9M | $22.2M | |
| Operating expenses | $16.2M | $16.1M | $16.1M | $16.5M | $19.2M | $19.8M | $20.3M | $19.8M | |
| Net patient income | −$0.9M | −$0.8M | −$0.5M | −$0.5M | −$2.5M | −$1.1M | −$0.4M | $2.4M | |
| Operating margin | −6.1% | −5.2% | −3.2% | −3.2% | −15.1% | −5.8% | −2.0% | 10.8% | |
| Net income | −$0.9M | −$0.8M | −$0.5M | −$0.5M | −$1.6M | −$1.0M | −$0.3M | $2.4M | |
| Payroll costs | $6.3M | $5.9M | $5.6M | $5.5M | $7.2M | $1.5M | $1.7M | $1.9M | |
| Payroll share of revenue | 41.3% | 38.6% | 35.8% | 34.5% | 43.1% | 8.2% | 8.4% | 8.8% | |
| Beds | 110 | 110 | 110 | 110 | 110 | 110 | 110 | 110 | |
| Gross revenue | $24.1M | $25.1M | $26.4M | $27.4M | $25.5M | $21.4M | $22.9M | $25.2M | |
| Salaries | $5.5M | $5.2M | $5.0M | $4.9M | $6.2M | $1.3M | $1.4M | $1.7M | |
| Wage-related costs | $0.8M | $0.7M | $0.6M | $0.6M | $1.0M | $0.2M | $0.2M | $0.2M | |
| Contract labor | $2.7M | $3.3M | $3.9M | $4.1M | $1.1M | $8.4M | $7.9M | $7.7M | |
| Other operating costs | $9.9M | $10.2M | $10.5M | $11.0M | $12.0M | $18.3M | $18.7M | $17.9M | |
| Net patient revenue per day | $418 | $413 | $419 | $432 | $474 | $530 | $554 | $598 | |
| Cost per day | $444 | $435 | $432 | $446 | $545 | $561 | $565 | $534 | |
| Average length of stay | 43.1 days | 45.2 days | 48.4 days | 50.2 days | 48.7 days | 41.9 days | 45.5 days | 46.5 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.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
804 admissions · FY2024
Residents admitted during the year.
Medicare
564 · 70%
Medicaid
13 · 2%
Private pay & other
227 · 28%
Resident snapshot
100 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
57 · 57%
Medicaid
24 · 24%
Private pay & other
19 · 19%
Leaving
798 discharges · FY2024
Residents discharged during the year.
Medicare
538 · 67%
Medicaid
32 · 4%
Private pay & other
228 · 29%
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 Waugh Chapel
4.0 miles from city center
Estimated distance in miles from Gambrills's city center to Autumn Lake Healthcare at Waugh Chapel's address, calculated via Google Maps.
— 8.73 miles to nearest hospital (Fresenius Medical Care at Anne Arundel Medical Center)
Calculate Travel Distance to Autumn Lake Healthcare at Waugh Chapel
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Financial Assistance for
Nursing Home in Maryland
Autumn Lake Healthcare at Waugh Chapel is located in Gambrills, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Know before you visit
Frequently Asked Questions about Autumn Lake Healthcare at Waugh Chapel
Quick answers from public records and the community's own listing.01 Is Autumn Lake Healthcare at Waugh Chapel in a walkable area?
Autumn Lake Healthcare at Waugh Chapel has a walk score of 35. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 What is the occupancy rate at Autumn Lake Healthcare at Waugh Chapel?
Autumn Lake Healthcare at Waugh Chapel's occupancy is 91.7%.
03 Are pets allowed at Autumn Lake Healthcare at Waugh Chapel?
No, Autumn Lake Healthcare at Waugh Chapel has a no-pet policy.
04 Does Autumn Lake Healthcare at Waugh Chapel operate as a for-profit or non-profit?
Autumn Lake Healthcare at Waugh Chapel is registered as a for-profit.
05 What is the overall rating for Autumn Lake Healthcare at Waugh Chapel?
Autumn Lake Healthcare at Waugh Chapel received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
06 How many beds does Autumn Lake Healthcare at Waugh Chapel have?
Autumn Lake Healthcare at Waugh Chapel has 110 beds.
07 Are there photos of Autumn Lake Healthcare at Waugh Chapel?
Yes — there are 5 photos of Autumn Lake Healthcare at Waugh Chapel in the photo gallery on this page.
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