A list of the most recent deficiencies for Autumn Ridge Rehabilitation Centre. 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? |
|---|---|---|---|---|
| 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 | 2023-06-15 | 2023-07-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-15 | 2023-07-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-19 | 2022-09-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-19 | 2022-08-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-06 | 2022-06-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-06 | 2022-06-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-06 | 2022-06-29 | 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 | 2022-06-06 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-06 | 2022-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-06-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-25 | 2022-02-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-11-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-28 | 2021-11-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-29 | 2021-08-30 | 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 | 2021-07-29 | 2021-08-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-29 | 2021-08-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-07-29 | 2021-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-17 | 2021-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-17 | 2021-07-12 | N |
| Post nurse staffing information every day. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-12 | 2021-04-30 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-12 | 2021-04-30 | Y |
