AUTUMN LAKE HEALTHCARE AT CALVERT MANOR
NPI 1366188740
Skilled Nursing Facility in Rising Sun, MD

Active since May 09, 2022
5/5
Overall Rating
1881 TELEGRAPH RD, RISING SUN, MD 21911(410) 658-6555 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, May 9, 2022 (2 updates tracked since 2022).

About Autumn Lake Healthcare At Calvert Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN LAKE HEALTHCARE AT CALVERT MANOR (NPI 1366188740) is a healthcare organization registered as a skilled nursing facility in Rising Sun, Maryland and active in the NPI registry since May 2022. The organization lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366188740
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1881 TELEGRAPH ROAD OPCO LLC
Location Address1881 TELEGRAPH RDRising Sun, MD 21911-2018
Mailing Address14c 53rd StBrooklyn, NY 11232-2644 · (877) 567-0402
Organization SubpartNo
Authorized OfficialSam SternCfo · (877) 567-0402
Enumeration DateMay 9, 2022
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedJune 13, 2022
NPI 1366188740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedRespite CareTaxonomy 385H00000X
1881 TELEGRAPH RD, Rising Sun, MD 21911

Other Names 1

Doing Business AsAutumn Lake Healthcare At Calvert Manor

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Autumn Lake Healthcare At Calvert Manor (CMS certification number 215189), from CMS Care Compare.

Autumn Lake Healthcare At Calvert Manor

Nursing home · Rising Sun, MD
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number215189
Certified Beds144 beds134 residents per day on average
Medicare & Medicaid Participant SinceJune 1, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
13.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.78 · LPN 0.65 · RN 1.04
3.47 hrs per resident per day
Weekend Nurse Staffing
3.09 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
58.3%
Registered Nurse Turnover
44.2%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1881 TELEGRAPH RD
RISING SUN, MD 21911
Occupational Therapist
1881 TELEGRAPH RD
RISING SUN, MD 21911
Internal Medicine
1881 TELEGRAPH RD
RISING SUN, MD 21911
Contractor
1881 TELEGRAPH RD
RISING SUN, MD 21911
Speech-Language Pathologist
1881 TELEGRAPH RD
RISING SUN, MD 21911
Physical Therapist
1881 TELEGRAPH RD
RISING SUN, MD 21911
Family Medicine
1881 TELEGRAPH RD
RISING SUN, MD 21911
Skilled Nursing Facility
1881 TELEGRAPH RD
RISING SUN, MD 21911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1881 Telegraph Road Opco LLC's NPI number?

The NPI number for 1881 Telegraph Road Opco LLC is 1366188740. It was assigned to this organization in the NPPES registry on May 9, 2022. The provider is doing business as Autumn Lake Healthcare At Calvert Manor.

Where is 1881 Telegraph Road Opco LLC located?

1881 Telegraph Road Opco LLC is located at 1881 Telegraph Rd, Rising Sun, MD 21911. The listed phone number is (410) 658-6555.

What is 1881 Telegraph Road Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is 1881 Telegraph Road Opco LLC a Medicare-certified nursing home?

Yes. Autumn Lake Healthcare At Calvert Manor is a Medicare-certified nursing home with 144 certified beds.

What quality rating does 1881 Telegraph Road Opco LLC have?

CMS rates Autumn Lake Healthcare At Calvert Manor 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for 1881 Telegraph Road Opco LLC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.