Deficiency Records for Autumn Lake Healthcare at The Willows

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Updated as of May 01, 2017

This is not the most recent data for Autumn Lake Healthcare at The Willows. For the most recent information, click here.

A list of the most recent deficiencies for Autumn Lake Healthcare at The Willows. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Health 2016-04-04 2016-05-16 N
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Health 2016-04-04 2016-05-16 N
Ensure each resident receives an accurate assessment by a qualified health professional. Health 2016-04-04 2016-05-16 N
Allow residents the right to participate in the planning or revision of care and treatment. Health 2016-04-04 2016-05-16 N
Store, cook, and serve food in a safe and clean way. Health 2016-04-04 2016-05-16 N
Provide or obtain dental services for each resident. Health 2016-04-04 2016-05-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2016-04-04 2016-05-16 N
Keep complete, dated laboratory records in the resident's file. Health 2016-04-04 2016-05-16 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2016-04-04 2016-05-16 N
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Health 2016-04-04 2016-05-16 Y
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2016-04-04 2016-05-16 Y
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2016-04-04 2016-05-16 Y
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2015-02-05 2015-03-16 N
Have a program that investigates, controls and keeps infection from spreading. Health 2015-02-05 2015-03-16 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2015-02-05 2015-03-16 Y
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2015-02-05 2015-03-16 Y
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Health 2015-02-05 2015-03-16 Y
Ensure that residents are safe from serious medication errors. Health 2015-02-05 2015-03-16 Y
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Health 2014-01-16 2014-02-27 N
Conduct initial and periodic assessments of each resident's functional capacity. Health 2014-01-16 2014-02-27 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2014-01-16 2014-02-27 N
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Health 2014-01-16 2014-02-27 N
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Health 2014-01-16 2014-02-27 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2014-01-16 2014-02-27 N
Give or get x-rays and other tests in a timely manner to meet the needs of residents. Health 2014-01-16 2014-02-27 N