Autumn Lake Healthcare At Spa Creek
35 Milkshake Lane, Annapolis, MD, 21403
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Autumn Lake Healthcare
- Certified beds
- 130 · avg 114 residents/day
- Total nursing staff turnover
- 54.2% — higher than most Maryland nursing homesMaryland avg: 40.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Maryland nursing homesMaryland avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Maryland averageMaryland avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 215258
- Certified beds
- 130 beds · avg 114 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- 35 Milkshake Opco Llc
- Chain affiliation
- Autumn Lake Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Autumn Lake Healthcare chain — 60 facilities across 5 states. Chain-wide average overall rating 3.0 / 5.
Parent entity
35 Milkshake Holdco Llc
Disclosed owners (9 on record)
- Ellen r Mcinerney
Operational/managerial Control · since 2022
- Elizabeth Neel
Operational/managerial Control · since 2021
- 35 Milkshake Holdco LlcParentHolding
5% or Greater Direct Ownership Interest · 100% · since 2021
- A&r Stern Family Md1 Holdings Llc
5% or Greater Indirect Ownership Interest · 74% · since 2021
- Accurate Staffing Llc
Adp of The Snf · since 2021
- Aryeh Stern
Indirect Ownership Interest · 1% · since 2021
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 73)
- E0658·Aug 6, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0883·Aug 6, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Aug 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Aug 6, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0759·Aug 6, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0757·Aug 6, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0756·Aug 6, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Fire-safety citations
27 Life-Safety-Code citations on file. Most recent: Aug 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Autumn Lake Healthcare At Spa Creekinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.