CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Autumn Lake Healthcare at Pikesville
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Pikesville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Autumn Lake Healthcare at Pikesville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Meet other general requirements. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-18 | 2025-08-29 | 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 | 2025-06-18 | 2025-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-06-18 | 2025-08-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-06-18 | 2025-08-15 | 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 | 2025-06-18 | 2025-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-18 | 2025-08-15 | 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 | 2025-06-18 | 2025-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-18 | 2025-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-18 | 2025-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-18 | 2025-08-15 | N |
| 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 | 2025-06-18 | 2025-08-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-18 | 2025-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-11 | 2022-11-24 | 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 | 2022-08-11 | 2022-11-24 | N |
| Post nurse staffing information every day. | Health | 2022-08-11 | 2022-11-24 | N |
| Keep all essential equipment working safely. | Health | 2022-08-11 | 2022-11-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-11-24 | 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 | 2022-08-11 | 2022-11-24 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-08-11 | 2022-11-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-11 | 2022-11-24 | 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 | 2022-08-11 | 2022-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-11 | 2022-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-11 | 2022-10-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-11 | 2022-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-11 | 2022-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-10-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-11 | 2022-10-03 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2022-08-11 | 2022-10-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-11 | 2022-10-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-11 | 2022-10-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-11 | 2022-10-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-11 | 2022-10-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-11 | 2022-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-10-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-11 | 2022-10-03 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-11 | 2022-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-10-03 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-11 | 2022-10-03 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-11 | 2022-10-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-11 | 2022-10-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-11 | 2022-10-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-11 | 2022-10-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-11 | 2022-10-03 | 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 | 2022-08-11 | 2022-10-03 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-08-11 | 2022-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-11 | 2022-10-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-11 | 2022-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-21 | 2019-03-13 | 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 | 2018-12-21 | 2019-03-13 | 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 | 2018-12-21 | 2019-03-13 | N |
| Meet other general requirements. | Fire Safety | 2018-12-21 | 2019-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-21 | 2019-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-21 | 2019-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-21 | 2019-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-21 | 2019-02-17 | N |