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Deficiency Records for Autumn Lake Healthcare at Madison
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Madison. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Madison. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-25 | 2025-10-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-25 | 2025-10-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-08-25 | 2025-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-25 | 2025-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-25 | 2025-10-21 | N |
| 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. | Health | 2025-08-25 | 2025-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-25 | 2025-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-25 | 2025-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-25 | 2025-10-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-25 | 2025-10-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-25 | 2025-10-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-25 | 2025-10-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-25 | 2025-10-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-01 | 2024-05-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-06 | 2024-04-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-06 | 2024-04-15 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-13 | 2024-01-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-13 | 2024-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-13 | 2024-01-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-13 | 2024-01-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide appropriate foot care. | Health | 2023-11-13 | 2024-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-13 | 2024-01-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-13 | 2024-01-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-13 | 2024-01-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-13 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2024-01-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-13 | 2024-01-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-13 | 2024-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-13 | 2024-01-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-11-13 | 2024-01-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-13 | 2024-01-25 | N |
| 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. | Health | 2023-11-13 | 2024-01-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-13 | 2024-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-13 | 2024-01-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-13 | 2023-12-18 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-09-27 | 2023-11-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-27 | 2023-11-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-14 | 2023-07-21 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-14 | 2021-08-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-14 | 2021-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-14 | 2021-08-03 | N |