Deficiency Records for Autumn Lake Healthcare at Perring Parkway
Updated as of March 01, 2024
A list of the most recent deficiencies for Autumn Lake Healthcare at Perring Parkway. 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? |
|---|---|---|---|---|
| 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 | 2021-04-08 | 2021-04-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-04-01 | 2019-05-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-05 | 2019-03-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-05 | 2019-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-05 | 2019-03-22 | 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 | 2019-02-05 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-05 | 2019-03-22 | N |
| 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 | 2019-02-05 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-05 | 2019-03-22 | 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 | 2019-02-05 | 2019-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-05 | 2019-03-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-05 | 2019-03-22 | 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 | 2019-02-05 | 2019-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-05 | 2019-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-05 | 2019-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-05 | 2019-03-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-05 | 2019-03-22 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-02-05 | 2019-03-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-05 | 2019-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-05 | 2019-03-22 | 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 | 2019-02-05 | 2019-03-22 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-05 | 2019-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-05 | 2019-03-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-05 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-05 | 2019-03-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-05 | 2019-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-11-30 | 2018-01-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-11 | 2017-12-22 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-11 | 2017-12-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-11 | 2017-12-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-11 | 2017-12-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-11 | 2017-12-22 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-10-11 | 2017-12-22 | 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 | 2017-10-11 | 2017-12-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-11 | 2017-12-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-11 | 2017-12-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-11 | 2017-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-16 | 2017-02-07 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-16 | 2017-02-07 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-11-16 | 2017-02-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-16 | 2017-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-11 | 2017-01-29 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-11-16 | 2017-01-13 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-16 | 2017-01-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-11-16 | 2017-01-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-16 | 2017-01-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-16 | 2017-01-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-16 | 2017-01-13 | N |
