Deficiency Records for Autumn Lake Healthcare at Bucks Hill
Updated as of March 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Bucks Hill. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-09-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-22 | 2022-09-29 | 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 | 2022-08-22 | 2022-09-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-22 | 2022-09-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-22 | 2022-09-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-11-13 | 2019-12-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-11-13 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-13 | 2019-12-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-13 | 2019-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-15 | 2019-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-15 | 2019-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-15 | 2019-12-12 | 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 | 2018-09-28 | 2018-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-28 | 2018-11-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-28 | 2018-11-09 | 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 | 2018-09-28 | 2018-11-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-28 | 2018-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-11-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-27 | 2018-11-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-09-27 | 2018-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-11-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-27 | 2018-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-27 | 2018-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-27 | 2018-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-27 | 2018-10-05 | N |
