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Nursing HomeMedicaid Top Rated

Autumn Lake Healthcare at Riverview

Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy. Still worth an in-person visit.

1 Eastern Boulevard, Essex, MD 21221238 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 359 Google reviews

5
4
3
2
1
Autumn Lake Healthcare at Riverview Nursing Home in Essex, MD — Street View
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What this means for your family

This facility is highly regarded for its physical therapy and activity programs, making it a strong candidate for short-term rehabilitation. However, the recurring reports of neglect and medication errors in long-term care are significant red flags. If you choose this facility, we strongly recommend frequent, unannounced visits and active monitoring of your loved one's nutrition and hygiene.

Google Reviews

Google Reviews

359 reviews on Google
Autumn Lake Healthcare at Riverview receives highly polarized feedback, with many families praising the rehabilitation therapy team and individual staff members for their kindness and attention. However, there are recurring, serious allegations regarding neglect, including reports of residents being left in soiled conditions, medication errors, and poor communication during medical crises. While many visitors find the facility clean and welcoming, others report significant concerns about hygiene, understaffing, and inadequate nutrition for long-term residents.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean6.0Activities9.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Friendly and compassionate individual nursing staff
  • Clean and well-maintained facility environment
  • Helpful and professional social work team

Concerns

  • Neglect and hygiene issues (soiled diapers, lack of assistance) (mentioned by 7 reviewers)
  • Poor nutrition and weight loss (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 3 reviewers)
  • Inadequate communication with families (mentioned by 3 reviewers)
  • Facility cleanliness and odors in long-term care wings (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.82023(31)4.72024(70)4.42025(83)4.82026(32)

Distribution · 216 analyzed

5
165
4
23
3
8
2
1
1
19
12 reviews posted between Apr 1, 2024Apr 6, 2024 · 11 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a high volume of reviews; how does your team ensure consistent communication with families regarding a loved one's daily status and care updates?
  • 2Given the importance of nutrition for resident health, could you walk me through how you monitor individual dietary needs and ensure residents are receiving adequate assistance during mealtimes?
  • 3With the facility's 3-star staffing rating, what specific protocols are in place to ensure timely assistance with personal hygiene and incontinence care for residents?
  • 4Since medication management is a critical part of daily health, what safety checks and double-verification processes do you use to prevent errors?
  • 5I see that your physical and occupational therapy programs are highly regarded; how are these services integrated into the daily routine for long-term residents?
  • 6I appreciate that the leadership team is very active in responding to feedback online; how do you use that family input to make tangible improvements to the facility's environment and care standards?

Personalized based on this facility's data


Key Review Excerpts

My grandfather was admitted for short term PT care after surgery. Vitals were great. He was excited for rehab and recovery. He was there 2.5 days and needed to be readmitted to the hospital for malnutrition, dehydration, internal bleeding and a UTI. He died shortly after.

Long-term resident's family · 2023☆☆☆☆

The physical therapy is the absolute best. He had PT, OT and group therapy regularly. The Social Workers and admin staff were always there to quicly answer questions.

Short-term rehab family member · 2025★★★★★

My grandma was there for maybe 10 days and she fell twice, left unsupervised for hours, every time we arrived her diaper was soaked, she was forgotten to be given lunch multiple times, they were giving her a medicine for her liver that WAS NOT HERS.

Granddaughter of resident · 2025☆☆☆☆
Source: 359 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.57hrs
87%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
20%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
Near state avg (18.9)
4 complaint-triggered

This facility has a concerning pattern of 55 deficiencies across multiple surveys, with families filing complaints that triggered 4 investigations. The most recurring issues involve resident rights violations, fire safety problems, and care planning deficiencies. While all violations show correction dates, the persistent recurrence of similar problems across years—particularly regarding resident dignity, facility safety standards, and proper care planning—suggests ongoing systemic challenges that families should carefully consider.

Jun 3, 2025Routine
18
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 3, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 14, 2024Complaint
2
0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Oct 27, 2021Routine
17
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0574Potential for harm · PatternCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0577Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0754Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Sep 28, 2018Routine
16
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0500Potential for harm · IsolatedCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0608Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0923Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Autumn Lake Healthcare at Riverview

Organization Type

for profit

Chain Affiliation

Chain Name

Autumn Lake Healthcare

Chain Size

60 facilities nationwide

Chain avg rating: 2.8/5 · Rank 3 of 60 (Best)

Ownership & Management

Owners

Riverview Holdco LLC

Owner · Organization

100%

Riverview as Holdings LLC

Owner (parent company) · Organization

Riverview Holdings LLC

Owner (parent company) · Organization

The Js Trust Fbo Nieces and Nephew

Owner (parent company) · Organization

Key personnel

Dew, DianaW-2 Managing EmployeeStern, SamuelOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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