Deficiency Records for Autumn Lake Healthcare at Pikesville
Updated as of July 01, 2021
This is not the most recent data for Autumn Lake Healthcare at Pikesville. For the most recent information, click here.
A list of the most recent deficiencies for Autumn Lake Healthcare at Pikesville. 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? |
---|---|---|---|---|
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-10-13 | 2020-11-08 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-25 | 2020-11-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-25 | 2020-11-08 | Y |
Ensure that residents are free from significant medication errors. | Health | 2020-09-25 | 2020-11-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-16 | 2019-06-27 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-16 | 2019-06-27 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-03-18 | 2019-05-01 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-18 | 2019-05-01 | Y |
Meet other general requirements. | Fire Safety | 2019-01-25 | 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 | 2019-01-25 | 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 | 2019-01-25 | 2019-03-13 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-25 | 2019-03-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-25 | 2019-03-13 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-01-25 | 2019-03-13 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-01-25 | 2019-03-13 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-25 | 2019-03-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-25 | 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 |
Honor each resident's preferences, choices, values and beliefs. | Health | 2018-12-21 | 2019-02-17 | Y |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-08-22 | 2017-11-13 | 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 | 2017-09-13 | 2017-10-23 | 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 | 2017-09-13 | 2017-10-23 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-09-13 | 2017-10-23 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2017-09-13 | 2017-10-23 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-09-13 | 2017-10-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-13 | 2017-10-23 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-22 | 2017-10-02 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-22 | 2017-10-02 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-22 | 2017-10-02 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-08-22 | 2017-10-02 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-22 | 2017-10-02 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-22 | 2017-10-02 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-22 | 2017-10-02 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-22 | 2017-10-02 | N |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2017-08-22 | 2017-10-02 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-22 | 2017-10-02 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-22 | 2017-10-02 | 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 | 2017-08-22 | 2017-10-02 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-22 | 2017-10-02 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-08-22 | 2017-10-02 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-22 | 2017-10-02 | 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 | 2017-08-22 | 2017-10-02 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-22 | 2017-10-02 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-22 | 2017-10-02 | N |
Keep all essential equipment working safely. | Health | 2017-08-22 | 2017-10-02 | N |
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-08-22 | 2017-10-02 | N |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-08-22 | 2017-10-02 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-22 | 2017-10-02 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-22 | 2017-10-02 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-07-19 | 2016-09-30 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-07-19 | 2016-09-30 | N |
Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-07-19 | 2016-09-03 | N |
Properly sized and located linen or trash receptacles. | Fire Safety | 2016-07-19 | 2016-09-03 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-07-19 | 2016-09-03 | N |
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-06-29 | 2016-08-30 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-29 | 2016-08-30 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-29 | 2016-08-30 | 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 | 2016-06-29 | 2016-08-30 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-29 | 2016-08-30 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2016-06-29 | 2016-08-30 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-29 | 2016-08-30 | N |
Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2016-06-29 | 2016-08-30 | N |
Provide housekeeping and maintenance services. | Health | 2016-06-29 | 2016-08-30 | N |
Provide adequate and comfortable lighting levels in all areas. | Health | 2016-06-29 | 2016-08-30 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-29 | 2016-08-30 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-29 | 2016-08-30 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-29 | 2016-08-30 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-29 | 2016-08-30 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-29 | 2016-08-30 | N |
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-06-29 | 2016-08-30 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-29 | 2016-08-30 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-29 | 2016-08-30 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-29 | 2016-08-30 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-29 | 2016-08-30 | 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 | 2016-06-29 | 2016-08-30 | N |
Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-06-29 | 2016-08-30 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-06-29 | 2016-08-30 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-29 | 2016-08-30 | 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 | 2016-06-29 | 2016-08-30 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-29 | 2016-08-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-06-29 | 2016-08-30 | N |
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-06-29 | 2016-08-30 | N |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-06-29 | 2016-08-30 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-29 | 2016-08-30 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-29 | 2016-08-30 | N |