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Deficiency Records for Autumn Lake Healthcare at Arcola
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Arcola. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Arcola. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-19 | 2026-02-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-12-19 | 2026-02-16 | 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 | 2025-12-19 | 2026-02-16 | 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 | 2025-12-19 | 2026-02-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-19 | 2026-02-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-19 | 2026-02-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-12-19 | 2026-02-16 | 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 | 2025-12-19 | 2026-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-19 | 2026-02-16 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-19 | 2026-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-12-19 | 2026-02-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-12-19 | 2026-02-16 | 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 | 2025-12-19 | 2026-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-19 | 2026-02-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-12-19 | 2026-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-19 | 2026-02-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-19 | 2026-02-16 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-12-19 | 2026-02-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-12-19 | 2026-02-12 | 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 | 2025-12-19 | 2026-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-19 | 2026-02-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-19 | 2026-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-19 | 2026-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Meet other general requirements. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-02 | 2024-08-14 | 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 | 2024-07-02 | 2024-08-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-02 | 2024-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-08-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-02 | 2024-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-08-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-02 | 2024-08-07 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-02 | 2024-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-08-07 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-07-02 | 2024-08-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-02 | 2024-08-07 | 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 | 2024-07-02 | 2024-08-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-02 | 2024-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-08-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-02 | 2024-08-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-02 | 2024-08-07 | 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 | 2024-07-02 | 2024-08-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-02 | 2024-08-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-02 | 2024-08-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2023-02-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-08-28 | 2019-11-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-08-28 | 2019-11-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-28 | 2019-11-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-28 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-28 | 2019-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-28 | 2019-10-25 | 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 | 2019-08-28 | 2019-10-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-28 | 2019-10-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-08-28 | 2019-10-25 | 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 | 2019-08-28 | 2019-10-25 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-08-28 | 2019-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-28 | 2019-10-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-28 | 2019-10-25 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-08-28 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-28 | 2019-10-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-08-28 | 2019-10-25 | 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 | 2019-08-28 | 2019-10-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-28 | 2019-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-28 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-28 | 2019-08-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-28 | 2019-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-28 | 2019-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-08-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-28 | 2019-08-31 | N |