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Deficiency Records for Autumn Lake Healthcare at Chevy Chase

View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Chevy Chase. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Chevy Chase. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure each resident receives an accurate assessment. Health 2026-04-03 2026-05-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-04-03 2026-05-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-04-03 2026-05-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-10-17 2025-12-05 Y
Provide and implement an infection prevention and control program. Health 2025-10-17 2025-12-05 Y
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-04-28 2025-07-31 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-04-28 2025-07-31 N
Have proper medical gas storage and administration areas. Fire Safety 2025-04-28 2025-07-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-04-28 2025-07-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-04-28 2025-07-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-04-28 2025-07-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-04-28 2025-07-31 N
Meet other general requirements. Fire Safety 2025-04-28 2025-07-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-04-28 2025-07-31 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 2025-04-28 2025-07-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-04-28 2025-07-31 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2025-04-28 2025-07-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-04-28 2025-07-31 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2025-04-28 2025-07-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-28 2025-07-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-04-28 2025-07-31 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2025-04-28 2025-07-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-04-28 2025-06-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-04-28 2025-06-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-04-28 2025-06-11 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2025-04-28 2025-06-11 N
Provide and implement an infection prevention and control program. Health 2025-04-28 2025-06-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-04-28 2025-06-11 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2025-04-28 2025-06-11 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 2025-04-28 2025-06-11 Y
Respond appropriately to all alleged violations. Health 2025-04-28 2025-06-11 Y
Ensure each resident receives an accurate assessment. Health 2025-04-28 2025-06-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-28 2025-06-11 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 2025-04-28 2025-06-11 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-04-28 2025-06-11 Y
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 2025-04-28 2025-06-11 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-04-28 2025-06-11 Y
Keep all essential equipment working safely. Health 2025-04-28 2025-06-11 Y
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2025-04-28 2025-06-11 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2025-04-28 2025-06-11 Y
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2025-04-28 2025-06-11 Y
Post nurse staffing information every day. Health 2025-04-28 2025-06-11 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2025-04-28 2025-06-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-04-28 2025-06-11 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 2025-04-28 2025-06-11 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-04-28 2025-06-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-04-28 2025-06-11 N
Provide and implement an infection prevention and control program. Health 2021-03-26 2021-05-06 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 2021-03-26 2021-05-06 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 2021-03-26 2021-05-06 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-03-26 2021-05-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-03-26 2021-05-06 N
Ensure each resident receives an accurate assessment. Health 2021-03-26 2021-05-06 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-03-26 2021-05-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-03-26 2021-05-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-03-26 2021-04-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-03-26 2021-04-29 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-03-26 2021-04-29 N
Meet other general requirements that are deficient. Fire Safety 2021-03-26 2021-04-29 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-03-26 2021-04-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-03-26 2021-04-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-03-26 2021-04-29 N
Install an approved automatic sprinkler system. Fire Safety 2021-03-26 2021-04-29 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2019-06-21 2019-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-06-21 2019-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-21 2019-08-01 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 2019-06-21 2019-08-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-21 2019-08-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-21 2019-08-01 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 2019-06-21 2019-08-01 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-06-21 2019-06-28 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-06-21 2019-06-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-21 2019-06-28 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 2019-06-21 2019-06-28 N

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