A list of the most recent deficiencies for Autumn Lake Healthcare at Homewood. 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 | 2022-09-07 | 2022-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-07 | 2022-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-21 | 2022-10-29 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-21 | 2022-10-29 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-21 | 2022-10-29 | Y |
| 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 | 2022-09-21 | 2022-10-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-21 | 2022-10-29 | Y |
| 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 | 2022-09-21 | 2022-10-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-21 | 2022-10-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-21 | 2022-10-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-21 | 2022-10-29 | 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 | 2022-09-21 | 2022-10-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-21 | 2022-10-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-21 | 2022-10-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-10-29 | 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 | 2022-09-21 | 2022-10-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-21 | 2022-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-10-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-10-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-21 | 2022-10-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-21 | 2022-10-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-21 | 2022-10-29 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-07 | 2022-09-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-01 | 2022-07-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-04 | 2022-05-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-04 | 2022-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-04 | 2022-05-19 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-04 | 2022-05-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-04 | 2021-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-04 | 2021-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-04 | 2021-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-04 | 2021-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-04 | 2021-04-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-11 | 2019-02-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-11 | 2019-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-11 | 2019-02-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-11 | 2019-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-11 | 2019-02-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-11 | 2019-01-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-11 | 2019-01-21 | 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 | 2018-12-11 | 2019-01-21 | 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 | 2018-12-11 | 2019-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-11 | 2019-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-11 | 2019-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-11 | 2019-01-21 | 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 | 2018-12-11 | 2019-01-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-11 | 2019-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-11 | 2019-01-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-11 | 2019-01-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-11 | 2019-01-21 | 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 | 2018-12-11 | 2019-01-21 | N |
| Dispose of garbage and refuse properly. | Health | 2018-12-11 | 2019-01-21 | N |
| Keep all essential equipment working safely. | Health | 2018-12-11 | 2019-01-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-12-11 | 2019-01-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-07 | 2017-10-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-07 | 2017-10-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-07 | 2017-10-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-07 | 2017-10-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-07 | 2017-10-07 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-08-07 | 2017-10-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-07 | 2017-10-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-07 | 2017-10-07 | N |
