Deficiency Records for Autumn Leaves Nursing and Rehab Ctr, LLC
Updated as of April 01, 2023
This is not the most recent data for Autumn Leaves Nursing and Rehab Ctr, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Leaves Nursing and Rehab Ctr, LLC. 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 and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-11-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-12 | 2022-05-20 | 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 | 2022-04-12 | 2022-05-20 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-12 | 2022-05-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-12 | 2022-05-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-12 | 2022-05-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-12 | 2022-05-20 | 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 | 2019-04-12 | 2019-05-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-12 | 2019-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-12 | 2019-05-10 | 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 | 2019-04-12 | 2019-05-10 | N |
