Deficiency Records for Autumn Lake Healthcare at Long Green
Updated as of March 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Long Green. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-11-15 | 2023-12-08 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-11-15 | 2023-12-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-15 | 2023-12-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-15 | 2023-12-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-15 | 2023-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-15 | 2023-12-08 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-11-15 | 2023-12-08 | Y |
| Post nurse staffing information every day. | Health | 2023-11-15 | 2023-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-15 | 2023-12-08 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-11-15 | 2023-12-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-15 | 2023-12-08 | 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 | 2023-11-15 | 2023-12-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-15 | 2023-12-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-14 | 2021-08-16 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-12 | 2019-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-12 | 2019-09-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-08 | 2019-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-08 | 2019-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-08 | 2019-09-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-08 | 2019-09-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-08 | 2019-09-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | 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 | 2019-08-08 | 2019-09-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-08 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-12 | N |
| Meet other general requirements. | Fire Safety | 2018-06-08 | 2018-07-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-08 | 2018-07-20 | 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 | 2018-06-08 | 2018-07-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-06-08 | 2018-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-08 | 2018-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-08 | 2018-07-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-06-08 | 2018-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-08 | 2018-07-20 | 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 | 2018-04-10 | 2018-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-10 | 2018-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-10 | 2018-05-18 | 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 | 2018-04-10 | 2018-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-10 | 2018-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-10 | 2018-05-18 | 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 | 2018-04-10 | 2018-05-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-10 | 2018-05-18 | 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 | 2018-04-10 | 2018-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-10 | 2018-05-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-10 | 2018-05-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-10 | 2018-05-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-04-10 | 2018-05-18 | N |
| Meet other general requirements. | Fire Safety | 2017-02-08 | 2017-03-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-02-08 | 2017-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-08 | 2017-03-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-01-10 | 2017-02-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-10 | 2017-02-22 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-01-10 | 2017-02-22 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-10 | 2017-02-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-10 | 2017-02-22 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-01-10 | 2017-02-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-10 | 2017-02-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-10 | 2017-02-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-10 | 2017-02-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-10 | 2017-02-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-10 | 2017-02-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-10 | 2017-02-22 | N |
