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Deficiency Records for Autumn Lake Healthcare at Ruxton
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Ruxton. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Ruxton. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-02-25 | 2026-05-12 | 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 | 2026-02-25 | 2026-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-02-25 | 2026-05-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-02-25 | 2026-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-25 | 2026-04-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-25 | 2026-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-25 | 2026-04-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-25 | 2026-04-20 | N |
| Provide or obtain dental services for each resident. | Health | 2026-02-25 | 2026-04-20 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-25 | 2026-04-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-02-25 | 2026-04-20 | 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 | 2026-02-25 | 2026-04-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2026-02-25 | 2026-04-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-02-25 | 2026-04-20 | 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 | 2026-02-25 | 2026-04-20 | Y |
| Dispose of garbage and refuse properly. | Health | 2026-02-25 | 2026-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-25 | 2026-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-25 | 2026-04-20 | N |
| Keep all essential equipment working safely. | Health | 2026-02-25 | 2026-04-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-02-25 | 2026-04-20 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2026-02-25 | 2026-04-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-02-25 | 2026-04-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2026-02-25 | 2026-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-25 | 2026-04-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-25 | 2026-04-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-25 | 2026-04-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-10-07 | 2025-12-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-02-14 | 2025-03-12 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-24 | 2025-01-08 | 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 | 2024-10-24 | 2025-01-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-24 | 2025-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-24 | 2024-11-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-09-18 | 2024-11-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-11-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-18 | 2024-11-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-11-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-18 | 2024-11-27 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-10-24 | 2024-11-27 | N |
| 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 | 2024-10-24 | 2024-11-27 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-18 | 2024-11-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-18 | 2024-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-11-27 | 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 | 2024-09-26 | 2024-11-27 | Y |
| 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 | 2024-10-24 | 2024-11-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-24 | 2024-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-24 | 2024-11-27 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Post nurse staffing information every day. | Health | 2019-07-18 | 2019-08-29 | N |
| 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 | 2019-07-18 | 2019-08-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-29 | N |
| Keep all essential equipment working safely. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-18 | 2019-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-18 | 2019-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-08-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-18 | 2019-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-18 | 2019-08-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-18 | 2019-08-29 | 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 | 2019-07-18 | 2019-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-18 | 2019-08-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-07-18 | 2019-08-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-18 | 2019-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-18 | 2019-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-18 | 2019-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-18 | 2019-08-29 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-07-18 | 2019-08-29 | N |
| Meet other general requirements. | Fire Safety | 2019-07-18 | 2019-08-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-04-24 | Not Fixed | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-04-24 | Not Fixed | Y |